Endo-urological cold-knife incision for ureteral stenosis after renal transplantation.
Cold-knife incision of stenoses in the transplant ureter was performed in 11 patients with upper urinary tract obstruction in renal transplants. The operations were complicated by bleeding in 2 patients and the graft had to be removed in 1 of them. The stenoses could be treated successfully in 10 of the 11 patients (91%) and the mean serum creatinine concentration decreased significantly from 3.4 to 1.8 mg./dl. After a mean of 26 months only 1 obstruction recurred, so the long-term success rate was 82%. Because of the favorable long-term results and the low incidence of complications, we recommend endo-urological cold-knife incision of ureteral stenosis as the first-line treatment for upper urinary tract obstruction in renal transplants.
Conrad
S
S
Department of Urology, Eppendorf University Hospital, University of Hamburg, Germany.
Schneider
A W
AW
Tenschert
W
W
Meyer-Moldenhauer
W H
WH
Huland
H
H
D000328:Adult; D002648:Child; D003404:Creatinine / Q000097:blood; D005260:Female; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D008722:Methods; D008875:Middle Aged; D011183:Postoperative Complications; D014517:Ureteral Obstruction / Q000601:surgery*
D003404:Creatinine