2013
DOI: 10.1155/2013/246520
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The Current Role of Endourologic Management of Renal Transplantation Complications

Abstract: Introduction. Complications following renal transplantation include ureteral obstruction, urinary leak and fistula, urinary retention, urolithiasis, and vesicoureteral reflux. These complications have traditionally been managed with open surgical correction, but minimally invasive techniques are being utilized frequently. Materials and Methods. A literature review was performed on the use of endourologic techniques for the management of urologic transplant complications. Results. Ureterovesical anastomotic str… Show more

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Cited by 46 publications
(45 citation statements)
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“…In addition, immunosuppression may increase the risk of developing urinary tract infection that may cause urolithiasis. [10][11][12][13] The most common clinical findings of urolithiasis in kidney transplant recipients include unexplained fever, increased creatinine level, decreased urine output, and hematuria. Renal colic usually is absent because the innervation of the kidney is impaired, but lower abdominal discomfort may occur from peritoneal irritation caused by a hydronephrotic collecting system.…”
Section: Discussionmentioning
confidence: 99%
See 2 more Smart Citations
“…In addition, immunosuppression may increase the risk of developing urinary tract infection that may cause urolithiasis. [10][11][12][13] The most common clinical findings of urolithiasis in kidney transplant recipients include unexplained fever, increased creatinine level, decreased urine output, and hematuria. Renal colic usually is absent because the innervation of the kidney is impaired, but lower abdominal discomfort may occur from peritoneal irritation caused by a hydronephrotic collecting system.…”
Section: Discussionmentioning
confidence: 99%
“…When hydronephrosis is present, a noncontrast computed tomography scan may show the anatomy more clearly. 8,11 Treatment options for stones include observation, dietary and medical therapy, extracorporeal SWL, endourologic procedures including TUL and PCNL, and open procedures. Small stones (< 4-5 mm) with little or no deterioration in renal function can be monitored.…”
Section: Discussionmentioning
confidence: 99%
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“…A larger urine collection may need to be drained to reduce risk of infection if there is a delay in operative intervention. [16][17][18][19] It is possible to manage urine leak associated with hydronephrosis by maximal decompression with external drainage (percutaneous nephrostomy) and double J stent placement. However, sufficient hydronephrosis is required to perform nephrostomy.…”
Section: Percutaneous Treatmentmentioning
confidence: 99%
“…If there is a small urine leak, the patient should be treated with maximal decompression (conservative procedure). 16,17 If the urine leak is associated with hydronephrosis, an anterograde stent placement can be performed. 5 Alcaraz and associates 20 assessed that percutaneous nephrostomy can result in successful treatment for 60% of recipients who develop urine leak 3 days after kidney transplant.…”
Section: Percutaneous Treatmentmentioning
confidence: 99%