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Related Concept Videos

Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...
Kidney Transplant III: Nursing Management01:16

Kidney Transplant III: Nursing Management

Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
Kidney Transplant I: Introduction01:28

Kidney Transplant I: Introduction

A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
Imaging Studies V: Intravenous Urography and Retrograde Pyelography01:22

Imaging Studies V: Intravenous Urography and Retrograde Pyelography

IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
Acute Kidney Injury II: Pathophysiology01:29

Acute Kidney Injury II: Pathophysiology

Acute kidney injury (AKI) causes are categorized into three primary categories based on the location of the injury: prerenal, intrarenal (or intrinsic), and postrenal causes. This classification guides clinical management and illustrates how different pathways can impair kidney function.Etiology and Pathophysiology of Acute Kidney Injury1. Prerenal causesEtiology: Prerenal Acute Kidney Injury, the most common type, occurs when reduced blood flow to the kidneys decreases filtration capacity...

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Related Experiment Video

Updated: Jul 1, 2026

Orthotopic Rat Kidney Transplantation: A Novel and Simplified Surgical Approach
09:15

Orthotopic Rat Kidney Transplantation: A Novel and Simplified Surgical Approach

Published on: May 7, 2019

Postrenal transplantation urologic complications.

S Buresley1, M Samhan, S Moniri

  • 1Hammed Al-Essa Organ Transplantation Centre, Kuwait. dr_salwa_buresley@yahoo.com

Transplantation Proceedings
|September 16, 2008
PubMed
Summary

Post-kidney transplant urologic complications occurred in 4.8% of recipients, with no graft loss. These complications, including ureteric strictures and urine leaks, were successfully managed.

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Last Updated: Jul 1, 2026

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Area of Science:

  • Nephrology
  • Urology
  • Transplant Surgery

Background:

  • Post-renal transplant urologic complications represent a significant clinical challenge.
  • Understanding their incidence, risk factors, and outcomes is crucial for improving patient care.

Purpose of the Study:

  • To investigate the incidence, risk factors, clinical presentation, management, and outcomes of urologic complications following kidney transplantation.
  • To identify specific patterns of complications such as ureteric strictures and urine leaks.

Main Methods:

  • Retrospective review of medical records for 646 renal transplantation procedures performed between November 1993 and December 2005.
  • Diagnosis of urologic complications confirmed by imaging techniques including ultrasound, isotope renal scanning, magnetic resonance urography, and antegrade urography.

Main Results:

  • Urologic complications were detected in 4.8% of recipients (31 patients).
  • The most frequent complications were ureteric strictures (2.58%) and urine leaks (2.58%), followed by ureteric stones (0.17%).
  • No graft loss occurred due to these urologic complications.

Conclusions:

  • The overall incidence of post-kidney transplant urologic complications was 4.8%, with no associated graft loss.
  • Complications were more frequent in male recipients and those receiving cadaveric grafts.
  • Ureteric strictures and urine leaks exhibited distinct timing and demographic associations, but all were successfully managed.