Artificial Ureteral Replacement for Ureteral Necrosis After Renal Transplantation

Desgrandchamps, François; Paulhac, Pascal; Fornairon, Sophie; KERVILLER, ERIC DE; Duboust, A; Teillac, P.; Duc, A. Le

doi:10.1097/00005392-199806000-00009

Cited by 4 publications

(3 citation statements)

References 11 publications

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“…The nephrovesical bypass is a closed system, and risk of infection is limited. Up to now, no occlusion or encrustation with urine retention has been observed in this system [6,19,20] . In patients with nephrocutaneous bypass, handling of stomal appliances was facilitated, and rehospitalization for nephrostomy exchange was avoided [19] .…”

Section: Discussionmentioning

confidence: 68%

Subcutaneous Nephrovesical and Nephrocutaneous Bypass

Jurczok

Loertzer²,

Wagner³

et al. 2005

Gynecol Obstet Invest

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Objective: We evaluated the effectiveness of the subcutaneous bypass for ureteral obstruction in patients with advanced malignancies. Two versions of the minimally invasive technique were performed: nephrovesical and nephrocutaneous bypass. Methods: A specially designed composite implant consisting of an inner smooth silicone-covered tube covered by a coiled e-PTFE-tube was used in 14 patients. Results: 10 subcutaneous nephrovesical bypasses were inserted in 10 patients, 8 nephrocutaneous bypasses in 4 patients. During the mean follow-up period of 13.1 months complications were observed in 2 patients with nephrocutaneous bypass, one encrustation and one infection of the bypass system. Conclusions: The subcutaneous nephrovesical and nephrocutaneous bypass is a safe alternative for palliative treatment of ureteral obstruction caused by pelvic malignancy.

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Section: Discussionmentioning

confidence: 68%

Subcutaneous Nephrovesical and Nephrocutaneous Bypass

Jurczok

Loertzer²,

Wagner³

et al. 2005

Gynecol Obstet Invest

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“…Die Verbesserung der Lebensqualität ist der wesentliche Aspekt des vorgestellten pyelovesikalen Bypasses [2,3,4,10]. Die Teilnahme an den täglichen und gesellschaftlichen Aktivitäten wird deutlich erleichtert.Das Konduit-System ist für den Patienten leicht zu handhaben und vermeidet unnötige Hospitalisationen zum Wechsel der Nephrostomie [10].…”

Section: Diskussionunclassified

“…Okklusion oder Inkrustationen und damit verbundene Harnstauungen wurden in dem bisher überschaubaren Nachbeobachtungszeitraum nicht beobachtet [2,3,4,10].…”

Section: Diskussionunclassified

Der k�nstliche pyelovesikale und pyelokutane Bypass

et al. 2003

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Reconstruction of necrotic kidney graft pelvis with a vascularized small bowel patch

Hoffmann¹

2001

Transplant Int

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Complete necrosis of the pelvis in a transplanted kidney is a rare but particularly severe complication that generally requires removal of the graft. Here, the case of a patient is reported in whom complete necrosis of the ureter and the pelvis occurred a few days after transplantation, while kidney function was excellent. After resection of all necrotic tissue, reconstruction of the pelvis was performed with a vascularized small bowel patch fixed to the renal parenchyma at the border of the intrarenal pelvis. The native ureter was then anastomosed to this reconstructed pelvis. Although the patient suffered from recurrent urinary tract infections in the early postoperative phase, he is now well, with normal kidney graft function and unimpaired urine flow through the reconstructed urinary tract, 18 months after transplantation. This report demonstrates that successful surgical reconstruction after complete necrosis of the renal pelvis in a grafted kidney can be achieved, although the long‐term outcome of this graft‐saving technique remains to be seen.

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Artificial Ureteral Replacement for Ureteral Necrosis After Renal Transplantation

Abstract: In select cases of ureteral necrosis after renal transplantation artificial ureteral replacement by subcutaneous pyelovesical bypass offers a possible alternative to open ureteral reconstruction.

Cited by 4 publications

References 11 publications

Subcutaneous Nephrovesical and Nephrocutaneous Bypass

Subcutaneous Nephrovesical and Nephrocutaneous Bypass

Der k�nstliche pyelovesikale und pyelokutane Bypass

Reconstruction of necrotic kidney graft pelvis with a vascularized small bowel patch

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