Experience of percutaneous access under ultrasound guidance in renal transplant patients with allograft lithiasis

Palazzo, Silvano; Colamonico, Ottavio; Forte, Saverio; Matera, Mariagiuseppa; Lucarelli, Giuseppe; Ditonno, Pasquale; Battaglia, Michele; Martino, Pasquale

doi:10.4081/aiua.2016.4.337

Cited by 6 publications

(6 citation statements)

References 13 publications

(17 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Table 1 and Table 2 show the summary and the outcomes of the stones of the included studies. Overall, for the studies that reported it, there were more males, with a male-to-female ratio (i.e., male:female) of 18:11 [ 9 , 12 , 13 ]. Preoperative imaging was either ultrasound (USS) [ 5 , 6 , 19 , 20 , 21 ], CT scan [ 5 , 6 , 22 ], USS and CT scan [ 23 ], or kidney, ureter, and bladder plane X-ray with USS [ 22 ].…”

Section: Resultsmentioning

confidence: 99%

“…Allograft urolithiasis is an uncommon clinical problem, affecting between 0.2 and 1.7% of the grafted population [ 4 , 5 , 6 , 7 ]. Despite their rare incidence, allograft stones can lead to significant morbidity, an increased risk of infection, and deterioration of renal function, as transplanted patients have a solitary functioning kidney [ 8 , 9 ]. Overall, stones can form de novo or be transplanted within the donor kidney, which is called “donor-gifted renal stones” [ 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

“…Despite their rare incidence, allograft stones can lead to significant morbidity, an increased risk of infection, and deterioration of renal function, as transplanted patients have a solitary functioning kidney [ 8 , 9 ]. Overall, stones can form de novo or be transplanted within the donor kidney, which is called “donor-gifted renal stones” [ 8 , 9 ]. Due to the possible complications, donor lithiasis was until recently considered a contraindication to transplant [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Shockwave Lithotripsy for De-Novo Urolithiasis after Kidney Transplantation: A Systematic Review of the Literature

Cerrato

Jahrreiss

Nedbal

et al. 2023

JCM

View full text Add to dashboard Cite

Background: Allograft urolithiasis is an uncommon, challenging, and potentially dangerous clinical problem. Treatment of allograft stones includes external shockwave lithotripsy (SWL), flexible ureteroscopy and lasertripsy (fURSL), or percutaneous nephrolithotomy (PCNL). A gap in the literature and guidelines exists regarding the treatment of patients in this setting. The aim of this systematic review was to collect preoperative and treatment characteristics and evaluate the outcomes of post-transplant SWL for stone disease. Methods: A systematic search in the literature was performed, including articles up to March 2023. Only original English articles were selected. Results: Eight articles (81 patients) were included in the review. Patients were mainly male, with a mean age of 41.9 years (±7.07). The mean stone size was 13.18 mm (±2.28 mm). Stones were predominantly located in the kidney (n = 18, 62%). The overall stone-free rate and complication rates were 81% (range: 50–100%) and 17.2% (14/81), respectively, with only one major complication reported. A pre-operative drainage was placed in eleven (13.5%) patients. Five patients (6.71%) required a second treatment for residual fragments. Conclusions: SWL is a safe and effective option to treat de novo stones after transplantation. Larger studies are needed to better address allograft urolithiasis management.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Shockwave Lithotripsy for De-Novo Urolithiasis after Kidney Transplantation: A Systematic Review of the Literature

Cerrato

Jahrreiss

Nedbal

et al. 2023

JCM

View full text Add to dashboard Cite

show abstract

“…Камнеобразование в пересаженной почке является одним из возможных осложнений трансплантации и может приводить к развитию хронического пиелонефрита, гидронефроза, анурии, нарушению функции трансплантата и его потере [1,2]. Зарубежными исследователями отмечено, что в 0,2-5,7% случаев после пересадки почки в ней верифицируются конкременты.…”

Section: Introductionunclassified

Efficacy of extracorporeal shock wave lithotripsy for post-transplant kidney stones. Hope or Disappointment?

Popov,

Huseynov,

Miloserdov

et al. 2023

RJTAO

View full text Add to dashboard Cite

Nephrolithiasis in a transplanted kidney is an important medical and social problem. The presence of renal calculi may not manifest clinically for a long time due to the peculiarities of the surgical intervention during organ transplantation. Development of chronic urinary tract infection and deterioration of the functional ability of the renal transplant in the presence of kidney stones can lead to graft death, which is an immediate threat to the patient’s life. Existing Russian guidelines on the treatment of urolithiasis currently lack a clear strategy for the management of kidney transplant recipients.Objective: to systematize literature data on analysis of the outcomes of extracorporeal shock wave lithotripsy (ESWL) and other methods in patients with post-transplant kidney stones.Results. Thirty-five publications on the research topic were selected. We summarized the information on various therapy options for patients with stones in transplanted kidney: endourological approach, ESWL, percutaneous nephrolithotripsy (PCNL), open surgical treatment (nephrostomy, pyelolithotomy). A modern foreign algorithm for the management of patients with post-transplant kidney stones depending on the severity of obstruction with sepsis and the size of the renal calculi is presented.Conclusion. 1. The presence of stones in a kidney graft is a clinical situation that requires surgical treatment. 2. In clinical practice, different methods of treatment can be used, such as open intervention, ESWL, PCNL, retrograde transurethral manipulations. 3. In most cases, patient management tactics depend on the clinical picture (presence/absence of obstruction) and the size of the calculi. 4. The use of ESWL, as the most frequently used method, testifies to its efficiency and low-traumatic effect.

show abstract

“…Although renal transplant lithiasis is a rather unusual complication with an incidence of 0.2-1.7% [1], we should not underestimate its severity since it can lead to disastrous consequences, such as the loss of allograft, without timely treatment [2]. Renal transplant recipients usually need to attend regular follow-up after transplantation for vigilant monitoring of allograft function.…”

Section: Introductionmentioning

confidence: 99%

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

Meng

et al. 2020

BMC Nephrol

View full text Add to dashboard Cite

Background Renal transplant lithiasis is a rather unusual disease, and the recurrence of lithiasis presents a challenging situation. Methods We retrospectively analyzed the medical history of one patient who suffered renal transplant lithiasis twice, reviewed the relevant literature, and summarized the characteristics of this disease. Results We retrieved 29 relevant studies with an incidence of 0.34 to 3.26% for renal transplant lithiasis. The summarized incidence was 0.52%, and the recurrence rate was 0.082%. The mean interval after transplantation was 33.43 ± 56.70 mo. Most of the patients (28.90%) were asymptomatic. The management included percutaneous nephrolithotripsy (PCNL, 22.10%), ureteroscope (URS, 22.65%), extracorporeal shockwave lithotripsy (ESWL, 18.60%) and conservative treatment (17.13%). In our case, the patient suffered from renal transplant lithiasis at 6 years posttransplantation, and the lithiasis recurred 16 months later. He presented oliguria, infection or acute renal failure (ARF) during the two attacks but without pain. PCNL along with URS and holmium laser lithotripsy were performed. The patient recovered well after surgery, except for a 3 mm residual stone in the calyx after the second surgery. He had normal renal function without any symptoms and was discharged with oral anticalculus drugs and strict follow-up at the clinic. Fortunately, the calculus passed spontaneously about 1 month later. Conclusions Due to the lack of specific symptoms in the early stage, patients with renal transplant lithiasis may have delayed diagnosis and present ARF. Minimally invasive treatment is optimal, and the combined usage of two or more procedures is beneficial for patients. After surgery, taking anticalculus drugs, correcting metabolic disorders and avoiding UIT are key measures to prevent the recurrence of lithiasis.

show abstract

Experience of percutaneous access under ultrasound guidance in renal transplant patients with allograft lithiasis

Cited by 6 publications

References 13 publications

Shockwave Lithotripsy for De-Novo Urolithiasis after Kidney Transplantation: A Systematic Review of the Literature

Shockwave Lithotripsy for De-Novo Urolithiasis after Kidney Transplantation: A Systematic Review of the Literature

Efficacy of extracorporeal shock wave lithotripsy for post-transplant kidney stones. Hope or Disappointment?

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

Contact Info

Product

Resources

About