Surgical treatment of urological complications after kidney transplantation.
Urological complications after kidney transplantation develop in 2.5% to 14.1% of recipients. The aim of the study was to analyze postoperative urological complications that required surgical treatment. Thirty-three urological complications developed in 30 among 321 patients (9.3%). Complications were divided into two groups: I, related to urine retention (60.6%); and II, related to urine leakage (39.4%). For 70% of group I, in patients a double pigtail ureteral stent was inserted; for 53.8% of group II, a vesicoureteric reanastomosis was performed. Good urine outflow was achieved in 90.0% of patients. Total early graft loss was 20% of patients. Urological complications related to stenosis or leakage can be treated with ureteral stent insertion or vesicoureteral reanastomosis. Hemorrhage or infection coexisting with a urological complication increased the risk of early graft loss. Long-term graft survival among patients after successful treatment of urological complications was similar to that of patients without them.
Król
R
R
Department of General, Vascular and Transplant Surgery, Silesian Medical University, ul. Francuska 20-24, 40-027 Katowice, Poland. robertk@hot.pl
Ziaja
J
J
Chudek
J
J
Heitzman
M
M
Pawlicki
J
J
Wiecek
A
A
Cierpka
L
L
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006085:Graft Survival / Q000502:physiology; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000145:classification / Q000453:epidemiology / Q000601:surgery*; D012189:Retrospective Studies; D013997:Time Factors; D014570:Urologic Diseases / Q000453:epidemiology / Q000209:etiology / Q000601:surgery*