Surgical treatment of urologic complications after renal transplantation.
OBJECTIVE
The incidence of urologic complications after renal transplantation has been reported to be between 2.5% and 27%. The aim of this study was to evaluate urologic complications of and their surgical treatment in our series of renal transplantations.


METHODS
We retrospectively evaluated urologic complications among 395 renal transplant recipients in our institute.


RESULTS
The urologic complications were ureteral leakage (n = 8), stricture of ureteral anastomosis (n = 3), hydronephrosis secondary to stone (n = 2) and bladder outlet obstruction (n = 2), recurrent urinary infection because of vesicoureteral reflux to native kidney (n = 2), renal tumor in native kidney (n = 1), hydroceles (n = 3), technical complications (n = 2), and clot retention (n = 1).


CONCLUSIONS
Major urologic complications following renal transplantation are ureteral leakage and stricture resulting from disrupture of the distal ureteral blood supply during the donor operation. Extravesical ureteroneocystostomy over a JJ stent seems feasible to minimize urologic complication. Early diagnosis and endourologic techniques are the mainstays of treatment.
Yigit
B
B
Haydarpasa Numune Research and Educational Hospital, Transplantation Unit, Tibbiye Caddesi, Uskudar Istanbul, Turkey. b.yigit@yahoo.com
Tellioglu
G
G
Berber
I
I
Aydin
C
C
Kara
M
M
Yanaral
F
F
Titiz
I
I
D000328:Adult; D005260:Female; D006801:Humans; D015994:Incidence; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D012189:Retrospective Studies; D016896:Treatment Outcome; D014570:Urologic Diseases / Q000453:epidemiology / Q000209:etiology / Q000601:surgery*