[Urological complications following kidney transplantation using Lich-Gregoir technique: A 4-year experience in Mexico].
OBJECTIVE
We present a retrospective review of urological complications following kidney transplantation in two medical centers in the Mexican state of Veracruz using Lich-Gregoir extravesical ureteroneocystostomy during a 4-year period.


METHODS
Records from 242 patients from January 2003 to November 2007 were reviewed. Standard technique for organ procurement, open nephrectomy and kidney transplant was performed. EVU was used in all patients. Urological complications and management are reported.


RESULTS
There were 19 complications recorded in 18 patients (7.8%). Sixteen kidneys were obtained from living donors. Urinary leak was the most common complication (4.5%) followed by ureteral stenosis (1.6%), vesicoureteral reflux (1.2%) and ureteral necrosis (0.4%) Most patients were treated with Foley catheter (42%), Boary flap (26%) and nephrostomy (15%); 1.23% grafts were lost associated with urological complications.


CONCLUSIONS
Renal transplantation should incur few urological complications. Attention to technical details should be paid to avoid major complications. Early evaluation to correct complications reduces sepsis, morbidity and the risk of losing graft function.
Martínez-Mier
Gustavo
G
Departamento de Trasplantes, Centro Médico Nacional "Adolfo Ruiz Cortines", Hospital General de Veracruz, Instituto Mexicano del Seguro Social, Veracruz, México. gmtzmier@hotmail.com
Jiménez-López
Luis Alfredo
LA
Valencia-Mercado
Daniel
D
George-Micelli
Esteban
E
Salas-Díaz
Fernando Abel
FA
González-Medina
María Fernanda
MF
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D008800:Mexico; D012189:Retrospective Studies; D013997:Time Factors; D014570:Urologic Diseases / Q000453:epidemiology* / Q000209:etiology*; D055815:Young Adult