Native ureteropyelostomy: an effective therapy for urinary tract complications following kidney transplantation

Riediger, Carina; Müller, Michael; Bachmann, Jeannine; Novotny, Alexander; Thorban, Stefan; Matevossian, Edouard; Friess, Helmut; Stangl, Manfred

doi:10.1111/ans.12526

Cited by 10 publications

(11 citation statements)

References 38 publications

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“…Yag laser endoureterotomy can be used safely and successfully in patients with posttransplant ureterovesical strictures (3). There are some reports indicating that native ureteropyelostomy can effectively be used in posttransplant strictures (14,15). We successfully performed ureteroureterostomy for uretheral stenosis.…”

Section: Discussionmentioning

confidence: 93%

Surgical Treatment for Ureteral Complications Following Renal Transplantations

Uysal¹,

Yüzbaşıoğlu²,

Dokur³

et al. 2015

jus

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What's known on the subject? and What does the study add? ÖZET Amaç Üreter darlığı ve nekrozu renal transplantasyon sonrası en sık görülen ürolojik komplikasyonlardır. Darlıkların tedavisinde cerrahi, perkütan girişimsel yaklaşımlar, laser endoüreterotomi gibi yöntemler uygulanabilir. Üreter nekrozlarında cerrahi tedavi ön planda yer almaktadır. Çalışmamızda merkezimizde yapılan renal transplantasyon sonrası görülen üreter komplikasyonlarının nedenlerini incelemek ve uygulanan cerrahi tedavi seçeneklerini değerlendirmek amaçlanmıştır. gereç ve yöntem 2011 ve 2014 yılları arasında transplantasyon merkezimizde yapılan 160 kadavra ve canlı renal transplantasyon kayıtları retrospektif olarak değerlendirmeye alındı. Ürolojik komplikasyon nedeniyle cerrahi müdahele uygulanan 10 hastanın demografik özellikleri, gelişen komplikasyon türü, ürolojik komplikasyona uygulanan cerrahi yöntemler ve sonuçları kayıt edildi. Hastaların verilerine dosya taramaları ile ulaşıldı. Bulgular Üreter darlığı 6 hastada (%3,75), üreter nekrozu 4 hastada (%2,5) görüldü. Transplantasyonların 3'ü canlı donörden (2 kadın, 1 erkek), 7'si kadavradan (1 kadın, 6 erkek) yapıldı. İdrar kaçağı üreter nekrozundan dolayı, 4 hastada görüldü. Kaçak oluşan hastalarda kaçaklar yaklaşık 2. haftada görüldü. Üreter nekrozu nedeniyle 2 hastaya native üreteropyelostomi, diğer 2 hastaya üreteroneosistostomi uygulandı. Üreter stenozu için bir hastaya üreteroüreterostomi, 4 hastaya üreteroneosistostomi, bir hastaya native ürteropyelostomi uygulandı. Native üreteropyelostomi uygulanan hastada idrar kaçağı görüldü. Sonuç Çalışmamızda renal transplantasyon sonrası ürolojik komplikasyonlar en sık kadavra transplantasyonlar sonrası görüldü. Üreter stenozu en sık görülen komplikasyondu. Üriner sistem enfeksiyonları üreter Objective Ureteral stenosis and necrosis are the most common urological complications after a renal transplantation. Surgery is the treatment of choice in ureteral necrosis, whereas surgery, percutaneous approaches and laser endoureteromy may be applied in ureteral stenosis. The aim of this study was to review the causes of and surgical treatment methods for ureteral complications following renal transplantations. Materials and Methods One hundred sixty renal transplantations were performed from both cadaveric and live donors at our transplantation center between 2011 and 2014. Demographic features, complication types, surgical methods and the treatment results in 10 patients, who required surgical intervention due to ureteral complications, were recorded. Data was collected retrospectively through patient charts. Results Patients who were operated on because of ureteral complications were enrolled in the study. Six patients (3.75%) had ureteral stenosis, and 4 patients (2.5%) had ureteral necrosis. Three of these transplantations were made from living donors (2 female and 1 male) and 7 were from cadavers (1 female and 6 male). Extravasation was found in 4 patients due to necrosis, all encountered in the second week of operation. Two patients underwent...

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Section: Discussionmentioning

confidence: 93%

Surgical Treatment for Ureteral Complications Following Renal Transplantations

Uysal¹,

Yüzbaşıoğlu²,

Dokur³

et al. 2015

jus

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“…4 The commonest urinary tract complication in renal transplants is ureteral stricture with a reported incidence of 1%-10%. 3 Partial ureteric necrosis and leakage of urine were reported to occur in 1%-5% of renal transplants. 3 Fortunately, complete necrosis of the graft ureter is encountered rarely.…”

Section: Discussionmentioning

confidence: 99%

“…3 Partial ureteric necrosis and leakage of urine were reported to occur in 1%-5% of renal transplants. 3 Fortunately, complete necrosis of the graft ureter is encountered rarely. Antiphospholipid syndrome is an autoimmune disorder in which autoantibodies (antiphospholipid antibodies) including lupus anticoagulant and anticardiolipin antibodies, are directed against phospholipid-binding proteins.…”

Section: Discussionmentioning

confidence: 99%

“…However, complete necrosis of the graft ureter is rare and only few cases have been reported 2, 3. Early necrosis of the graft ureter is a serious complication which can cause allograft failure or infected collections resulting in considerable morbidity and mortality 3.…”

Section: Introductionmentioning

confidence: 99%

“…1 However, complete necrosis of the graft ureter is rare and only few cases have been reported. 2,3 Early necrosis of the graft ureter is a serious complication which can cause allograft failure or infected collections resulting in considerable morbidity and mortality. 3 Patients with antiphospholipid syndrome are particularly at a higher risk because of the increased tendency for vascular thromboembolism, due to the disease and hemorrhage, due to anticoagulation.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Complete necrosis of graft ureter following renal transplant in a patient with primary antiphospholipid syndrome: A case report

Fernando

Jayarajah

Rubakan

et al. 2018

Clinical Case Reports

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Key Clinical MessageComplete necrosis of the graft ureter is a rare but serious complication following kidney transplant. In a patient with antiphospholipid syndrome, a combination of factors such as arterial thromboembolism, hematoma formation, and surgical collateral damage can cause ischemia of the graft ureter. Preoperative optimization of disease activity and coagulation with meticulous preservation of ureteric perfusion may help in prevention.

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Ureteral Stenosis After Renal Transplantation—A Single-Center 10-Year Experience

Gil-Sousa

Oliveira-Reis

Teves

et al. 2017

Transplantation Proceedings

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Native ureteropyelostomy: an effective therapy for urinary tract complications following kidney transplantation

Abstract: Ureteropyelostomy using the native ureter to treat ureter-related urinary tract complications after kidney transplantation can be performed safely and result in good graft and patient survival.

Cited by 10 publications

References 38 publications

Surgical Treatment for Ureteral Complications Following Renal Transplantations

Surgical Treatment for Ureteral Complications Following Renal Transplantations

Complete necrosis of graft ureter following renal transplant in a patient with primary antiphospholipid syndrome: A case report

Ureteral Stenosis After Renal Transplantation—A Single-Center 10-Year Experience

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