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Urologic problems in renal transplantation.

F J Leary, J E Woods, J H DeWeerd

    Archives of Surgery (Chicago, Ill. : 1960)
    |September 1, 1975
    PubMed
    Summary
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    Major urologic complications after renal transplantation are rare, occurring in less than 1% of cases. These complications, including ureteric obstruction and fistula, were successfully managed without mortality.

    Area of Science:

    • Urology
    • Nephrology
    • Transplant Surgery

    Background:

    • Renal transplantation is a critical treatment for end-stage renal disease.
    • Urologic complications can impact graft survival and patient outcomes.

    Purpose of the Study:

    • To determine the incidence and nature of major urologic complications following renal homografts.
    • To evaluate the management and outcomes of these complications.

    Main Methods:

    • Retrospective review of 221 consecutive renal homografts in 206 patients.
    • Analysis of urologic complications, interventions, and patient outcomes.

    Main Results:

    • Less than 1% incidence of major urologic complications.
    • Identified cases included ureteric obstruction requiring surgery and ureteropelvic junction fistula necessitating nephrectomy.

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  • One suspected urinary extravasation case resolved uneventfully.
  • No deaths were related to urologic complications.

    • Conclusions:

    • Major urologic complications are infrequent after renal transplantation.
    • Prompt diagnosis and appropriate management are crucial for favorable outcomes.
    • Renal transplantation can be performed with a low risk of severe urologic morbidity.