Abstract

GONZALO RODRIGUEZ, V. et al. Diagnosis and treatment of urological complications in kidney transplants. Actas Urol Esp [online]. 2006, vol.30, n.6, pp.619-625. ISSN 0210-4806.

Objective: To analyze the incidence of urological complications, like fistula and stenosis in our series of 282 renal transplants and their management. Materials and methods: Between December 1995 and October 2005, 282 adult recipients underwent renal transplant. The most common urological complication was urinary fistula. This complication was observed in 24 cases (8.5%), ureteral stenosis in 18 cases (6.4%) and both of them in 5 (1.7%). The items recorded on these patients included the time to diagnosis, the image technique, the type of ureteral stents and the clinical evolution. Results: Endourologic treatment with percutaneos nefrostomy, double-J catheter and metalic endoprotesis was performed successfully in 76.4% of urinary fistula, in 66.7% of ureteral obstruction and in 60% of patients who developed both of them. Conclusion: Endourologic procedures have replaced open reconstructive surgery in most patients with ureteral obstruction or urinary fistula after renal transplant, because they may offer a definitive treatment with low morbidity.

Keywords : Renal Transplant; Urological Complications; Stent.

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