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Urologic complications after renal transplantation
M Samhan1, M Al-Mousawi, H Hayati
1Hamed Al-Essa Organ Transplantation Centre, Ibn Sina Hospital, Hawally, Kuwait.
Transplantation Proceedings
|October 11, 2005
Summary
Urologic complications after renal transplantation occur in 3.7% of cases and are successfully treated with early diagnosis and intervention, preventing graft loss. These urinary issues have a good prognosis with proper management.
Area of Science:
- Urology
- Nephrology
- Transplantation Surgery
Background:
- Renal transplantation can lead to nonimmunological urologic complications, potentially risking graft loss.
- These complications, though serious, are treatable with timely diagnosis and intervention.
- Literature reports an incidence of urologic complications ranging from 2.5% to 15%.
Purpose of the Study:
- To evaluate the incidence, patterns, management, and outcomes of urologic complications in renal transplant recipients.
- To assess the effectiveness of various treatment modalities for post-transplant urinary issues.
Main Methods:
- A retrospective analysis of 560 consecutive renal transplantations performed between November 1993 and October 2004.
- Identification and characterization of urologic complications, including ureteric stricture and urine leak.
- Diagnostic tools included ultrasonography and isotope renal scanning; treatments ranged from conservative measures to percutaneous dilatation and surgical reconstruction.
Main Results:
- The incidence of urologic complications in this series was 3.7%.
- All 21 identified cases were successfully treated.
- No graft loss occurred as a direct result of these urologic complications.
Conclusions:
- Early diagnosis and proper treatment of post-transplantation urologic complications are associated with a favorable prognosis.
- Percutaneous transluminal dilatation for ureteric stenosis demonstrates good initial success, low morbidity, and long-term effectiveness in renal transplant patients.