Ureteral Complications in Renal Transplant Recipients Successfully Treated With Interventional Radiology

Role of interventional management in post transplant ureteric stricture: Case report & review of literature

“…Factors predisposing to late ureteric obstruction (>3 months after transplant) include generalized or focal fibrosis as sequlae of ischemia or rejection. 3 Distal ureter and ureterovesical junction are the commonest site of ureteric obstruction and result from ischemia due to operative technique or high dose of immunosuppression. 3,4 Literature suggests that while most cases of early ureteric obstruction respond to percutaneous management, the cases of late ureteric obstruction are associated with significant amount of fibrosis that makes it poorly responsive to any percutaneous intervention.…”

Surgical Complications of Renal Transplantation

“…The incidence related in literature varies from 3 to 8% (Fontana, Bertocchi et al;Smith, Windsperger et al;Kaskarelis, Koukoulaki et al 2008). Obstruction may occur during the early postoperative course due to blood clots, ureteral malrotation or kinking, tight submucosal tunnel, unsuspected donor calculus (Poullain, Devevey et al 2010) or perigraft fluid collection (Kahan and Ponticelli 2000;Campbell, Wein et al 2007).…”

Ureteric Stenting in Kidney Transplants

“…[1][2][3][4][5] They occur in the form of urinary leakage or ureteric stenosis, with the use of stents in treating well-established complications. 1,6,7 However, prophylactic or routine ureteric stenting for kidney recipients after transplant remains controversial. There have been instances in which complications have been reported to decrease; other studies have reported the opposite.…”