[Renal transplantation and urinary lithiasis].
Renal lithiasis in renal donors is rare. A renal stone in a donor, or in a renal transplant, is not a contraindication for harvesting nor transplantation. If possible, the stone must be removed at the time of the transplantation. The risk of lithiasis is increased in the renal transplant recipient, with a frequency of 2-6%. Metabolic abnormalities for lithiasis are frequent and can be induced by the immunosuppressive treatment, anticalcineurins. Lithiasis can have a poor prognosis in the renal recipient with a risk for infection or renal dysfunction. Small (<4-5mm) stones in a renal transplant can be followed-up. Stones of 0.5-1.5cm need an extracorporeal lithotripsy with a previous safety JJ stent. Stones greater than 1.5cm can be treated by ureteroscopy or percutaneous surgery.
Lechevallier
E
E
Service d'urologie, hôpital La-Conception, 147, boulevard Baille, 13005 Marseille, France. elechevallier@ap-hm.fr
Saussine
C
C
Traxer
O
O
D006801:Humans; D007669:Kidney Calculi / Q000628:therapy; D016030:Kidney Transplantation