Genitourinary complications in renal transplantation.
The surgical aspects of renal transplantation have now been studied thoroughly. Yet, technical complications are still common. This review may seem too complex, but proper attention to many small details means the difference between success and failure, or at least between large and small morbidity. Reduction of genitourinary complications is due to many innovations. The external ureteroneocystostomy is a primary method of urinary reconstruction which is simpler and produces fewer complications than the alternative procedures. Further, the complications that do occur are more easily and promptly treated. The end-to-side ureteroureterostomy, as currently performed, provides a ready secondary method of reconstruction if the primary method fails. The early exploration and operative correction of genitourinary complications substantially reduces long-term morbidity and mortality.
Landreneau
M D
MD
McDonald
J C
JC
D006801:Humans; D016030:Kidney Transplantation; D014184:Transplantation, Homologous / Q000009:adverse effects* / Q000379:methods; D014519:Ureterostomy / Q000009:adverse effects* / Q000379:methods; D014570:Urologic Diseases / Q000209:etiology*