Management of renal transplant urolithiasis: a multicentre study by the French Urology Association Transplantation Committee

Abstract

The incidence of lithiasis could be higher in kidney transplanted patients due to a possible anatomical or metabolical abnormalities. The therapeutic management of renal transplant urolithiasis appears to be comparable to that of native kidney urolithiasis.

Treatment of recurrent renal transplant lithiasis: analysis of our experience and review of the relevant literature

“…It was considered that the stent can hold ureter open and conduce to pass of the residual stones. Although Branchereau et al considered that stent is not a risk factor for early stone formation [5], we still suggest that patients with stent have a higher propensity to develop renal stone than ones without stent. So we did not place the stent after the second operation.…”

“…The number of renal transplant recipients included in these studies are ranged between 125 to 42096. After excluding the studies with missing number of recipients [5,12,13,17,18,21,24,30], the summarized reanl transplant lithiasis accidence is 0.52%. A total of 25 patients with recurrent renal transplant lithiasis after operation were reported in 13 studies [6, 8-10, 14, 15, 17, 20-22, 24, 26, 30], and the recurrent rate is 0.082%.…”

Flexible Ureteroscopy as the New Standard for the Management of Renal Transplant Urolithiasis <15 mm: A Single-Center Experience

“…Watchful waiting has been utilized in the literature for stones <4-6 mm with no reported loss of allograft function or renal failure. 2,11,16 However, this method does require stringent clinical, radiologic, and laboratory follow-up as the majority of these patients are functioning with a solitary kidney, and unrecognized obstruction could lead to acute kidney injury in the short term and, if unrecognized over time, allograft failure. Given this need for stringent follow-up and the risk of damage to the renal transplant due to unrecognized obstruction, watchful waiting is not a management option commonly used at our institution.…”

“…13 Branchereau and coworkers performed a retrospective review of 95 patients with transplant lithiasis from 11 renal transplantation centers across Europe. 16 Ureteroscopy was performed in 26% of patients with stone measure 6-24 mm in diameter with no graft loss or deaths observed at a mean follow-up of 72 months. Surgical techniques, stone-free rates, complications, and need for additional intervention were not reported.…”

Simultaneous laparoscopic bilateral nephroureterectomy, cadaveric kidney allotransplantation and performance of vesicostomy in a patient with neurogenic bladder

“…На терминальной стадии хронической почечной недостаточности поддерживаются гемодинамиче ские, экскреторные и эндокринные функции. В исследованиях приходят к выводу, что билатеральная нефрэктомия, как отдельный вид оперативного вмешательства перед трансплантацией почки, имеет значительный риск смертности и заболеваемости и не является методом выбора у пациентов, имеющих ДНМП с большой емкостью мочевого пузыря [22,23], но при этом одномоментная трансплантация почки с двусторонней нефрэктомией имеет более высокий уровень урологических осложнений, кровопотери и необходимости переливания крови, чем двусторонняя нефрэктомия в качестве первого этапа [24,25].…”