title: [Percutaneous Nephrolithotripsy for Renal Transplant Lithiasis: A Case Report].
abstract: A 54-year-old man was introduced to our hospital for follow-up examinations after renal transplantation. At the initial visit, a 25 mm renal transplant stone was noted, which had enlarged to 32 mm at an examination 1 year later. We first attempted transurethral lithotripsy (TUL), but failed due to ureteral stricture. However, we could completely remove the stone in 2 sessions of percutaneous nephrolithotripsy (PNL). The incidence of urinary lithiasis after renal transplantation ranges from 0.17-1.8%, for which PNL and TUL are frequently used. Although considered to be accompanied with risks of bleeding, bowel injury, and renal dysfunction, PNL is effective for urinary lithiasis after renal transplantation. TUL is less invasive, but access may be difficult when the ureter has an unusual course or ureteral stricture exists, as in our patient.
authors.affiliation: The Departments of Urology, Japan Community Health care Organization Osaka Hospital.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Oida
authors.affiliation: The Departments of Urology, Japan Community Health care Organization Osaka Hospital.
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Kanemitsu
authors.affiliation: The Departments of Urology, Japan Community Health care Organization Osaka Hospital.
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Hayashi
authors.affiliation: The Departments of Urology, Japan Community Health care Organization Osaka Hospital.
authors.forename: Nobumasa
authors.initials: N
authors.lastname: Fujimoto
authors.affiliation: The Departments of Urology, Japan Community Health care Organization Osaka Hospital.
authors.forename: Takuo
authors.initials: T
authors.lastname: Koide
mesh_terms: D006801:Humans; D007674:Kidney Diseases / Q000628:therapy*; D016030:Kidney Transplantation; D020347:Lithiasis / Q000628:therapy*; D008096:Lithotripsy; D008297:Male; D008875:Middle Aged