Extracorporeal shock-wave lithotripsy in transplanted kidney.
Urolithiasis is the least described urologic sequela of renal transplantation. We describe a renal transplant patient who presented with painless gross hematuria. An intravenous pyelogram demonstrated a 4 x 7-mm calculi in the region of the ureteropelvic junction, causing moderate hydronephrosis. The patient was treated successfully with extracorporeal shock-wave lithotripsy (ESWL). Serum creatinine and twenty-four-hour creatinine clearance were unchanged from levels prior to ESWL.
Atala
A
A
Department of Surgery, University of Louisville School of Medicine, Kentucky.
Steinbock
G S
GS
Harty
J I
JI
Klein
J B
JB
D000328:Adult; D006801:Humans; D007669:Kidney Calculi / Q000209:etiology / Q000628:therapy*; D016030:Kidney Transplantation / Q000009:adverse effects*; D008096:Lithotripsy; D008297:Male