Urinary tract reconstruction in renal transplantation. Mayo Clinic experience and review of literature.
Althrough rejection remains the most frequent cause of renal allograft failure, technical problems have contributed and continue to contribute to graft loss. Urologic complications may be caused by technical errors in the donor nephrectomy or in urinary tract reconstruction. During the past decade, however, with advances in medical and surgical management, the reported incidence of urologic complications in renal transplantation has declined steadily. This may be due to (1) more extensive donor and recipient preparation and evaluation for surgery, (2) improvement of surgical technique with increasing experience in donor and recipient, and (3) more refined diagnosis and treatment of urologic and infectious complications.
D000293:Adolescent; D000328:Adult; D004823:Epididymitis / Q000209:etiology; D005260:Female; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D008722:Methods; D008875:Middle Aged; D011183:Postoperative Complications / Q000628:therapy*; D014184:Transplantation, Homologous; D014517:Ureteral Obstruction / Q000209:etiology / Q000601:surgery; D014545:Urinary Calculi / Q000209:etiology; D014548:Urinary Fistula / Q000209:etiology / Q000601:surgery; D014552:Urinary Tract Infections / Q000188:drug therapy / Q000209:etiology; D014718:Vesico-Ureteral Reflux / Q000209:etiology / Q000628:therapy