Posttransplant Urine Leakage with Extensive Ureteral Stricture Corrected by Pyelopyelostomy: A challenging case

Abstract

Various rescue procedures have been devised to reconstruct a long-segment ureteral stricture with high-volume urinary leakage after kidney transplantation. Secondary pyeloureterostomy is typically employed using the recipient’s native ureter, and pyelopyelostomy is infrequently applied for secondary reconstruction. We used the latter method in a secondary transplant recipient whose native ureter was small in diameter and who also had a “frozen pelvis” with marked adhesions and fibrosis as he had survived various complications and multiple surgical procedures, including abscess drainages and colon surgeries. One and a half years have passed since the secondary pyelopyelostomy with a well-functioning graft; therefore, this open surgical repair appears to be the treatment of choice for complicated urinary leakage and failed endourological repair.