title: Ureteric re-implant for the strictured renal allograft: How I do it.
abstract: Ureteric stricture is the most common urologic complication following renal transplantation. Initial treatment should consist of endoscopic management, however patients that fail endoscopic management or strictures that are not amendable to endoscopic management are appropriate candidates for open surgical repair. In this manuscript we describe the steps and surgical technique we use to manage complicated ureteric strictures refractory to endoscopic management at our center. Ureteric re-implant with the use of a Boari flap is a safe, effective and definitive option for repair of ureteric strictures following renal transplantation. This approach provides excellent long term outcomes in terms of renal function preservation and negligible recurrence rates.
authors.affiliation: Division of Urology, Department of Surgery, University of Manitoba, Winnipeg, Manitoba, Canada.
authors.forename: Thomas
authors.initials: T
authors.lastname: McGregor
authors.forename: Tadeuz
authors.initials: T
authors.lastname: Kroczak
authors.forename: Chun
authors.initials: C
authors.lastname: Huang
authors.forename: Joshua
authors.initials: J
authors.lastname: Koulack
mesh_terms: D000328:Adult; D000368:Aged; D064591:Allografts; D003251:Constriction, Pathologic / Q000209:etiology / Q000601:surgery; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D008875:Middle Aged; D012086:Reoperation; D012092:Replantation / Q000379:methods*; D013524:Surgical Flaps; D014513:Ureter / Q000601:surgery*; D014517:Ureteral Obstruction / Q000209:etiology* / Q000601:surgery*