Cystometrography provides a previously unrecognized opportunity for successful management of urinary leaks after renal transplantation.
We report 3 cases of urinary leakage occurring in male kidney transplant recipients within 6 weeks of renal transplantation. Voiding cystometrography showed that high voiding detrusor pressure was the contributing factor. Endoscopic bladder outlet surgery restored normal detrusor voiding pressure and led to spontaneous resolution of urinary leakage without recurrence in all cases.
Rana
A
A
Nuffield Transplant Surgical Unit, Western General Hospital, Edinburgh, United Kingdom.
Hand
M F
MF
Chisholm
G D
GD
Anderton
J L
JL
D000328:Adult; D000368:Aged; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D011312:Pressure; D001748:Urinary Bladder Neck Obstruction / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology / Q000628:therapy