Vesicocalicostomy as ultimate solution for recurrent urological complications after cadaveric renal transplantation in a patient with poor bladder function.
We report a case of a neurogenic bladder in which hydronephrosis recurred early after renal transplantation. After 2 unsuccessful attempts at ureteroneovesicostomy of the donor ureter a vesicocalicostomy was performed, since reconstruction with the donor pelvis or ureter was impossible owing to the extended fibrosis and scar formation around the renal hilus and ureter. During the 23 months of followup renal function has been good without serious infectious sequela with a regimen of self-catheterization and no antibiotic maintenance therapy.
D000328:Adult; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000601:surgery; D007670:Kidney Calices / Q000601:surgery*; D007682:Kidney Pelvis / Q000601:surgery*; D016030:Kidney Transplantation; D011183:Postoperative Complications / Q000601:surgery*; D012008:Recurrence; D001743:Urinary Bladder / Q000601:surgery*; D001750:Urinary Bladder, Neurogenic / Q000601:surgery*