title: Extra-anatomic stent (EAS) as a salvage procedure for transplant ureteric stricture.
abstract: Ureteric stricture is the most common urological complication following renal transplantation. Management often involves endo-urological interventions and open surgery. The definitive treatment is surgical reconstruction to restore continuity. Where this is not possible or contra-indicated and a stent cannot be placed in the ureter, an extra-anatomic stent (EAS) could be used to bypass a complete ureteric obstruction. Using an existing nephrostomy tract, a percutaneous stent is placed in the kidney and is tunneled under the skin into the bladder establishing extra-anatomical urinary drainage. We report the use of a novel EAS system in a patient with transplant ureteric stricture when antegrade stent placement or surgical reconstruction was not possible.
authors.affiliation: Division of Surgery, Department of Transplantation, St James's University Hospital, Leeds, United Kingdom.
authors.forename: W
authors.initials: W
authors.lastname: Tahir
authors.forename: A
authors.initials: A
authors.lastname: Hakeem
authors.forename: A
authors.initials: A
authors.lastname: White
authors.forename: H C
authors.initials: HC
authors.lastname: Irving
authors.forename: S N
authors.initials: SN
authors.lastname: Lloyd
authors.forename: N
authors.initials: N
authors.lastname: Ahmad
mesh_terms: D000368:Aged; D003251:Constriction, Pathologic; D005260:Female; D006801:Humans; D007668:Kidney / Q000601:surgery; D007676:Kidney Failure, Chronic / Q000601:surgery / Q000628:therapy; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D015607:Stents; D013997:Time Factors; D014019:Tissue Donors; D014513:Ureter / Q000601:surgery*; D014517:Ureteral Obstruction / Q000209:etiology / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery
keywords: Extra-anatomic stent; reconstruction; ureteric stricture