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[Ureteral stenosis in kidney transplantation]
P Heritier1, C Guérin, F Levigne
1Service d'Urologie, Hôpital Nord CHU Saint-Etienne, Saint-Priest.
Annales D'Urologie
|January 1, 1990
Summary
Ureteral or periureteral sclerosis occurred in 3.9% of renal transplant patients. While surgically manageable, these early, asymptomatic complications led to significant graft loss due to urological issues.
Area of Science:
- Nephrology
- Urology
- Transplantation Surgery
Context:
- Renal transplantation is a life-saving procedure for end-stage renal disease.
- Complications following renal transplantation can impact graft survival and patient outcomes.
- Ureteral and periureteral sclerosis are potential, though less common, post-transplant complications.
Purpose:
- To report the incidence and outcomes of ureteral or periureteral sclerosis after renal transplantation.
- To analyze the clinical presentation, management, and consequences of this specific complication.
- To compare findings with existing literature on post-transplant urological issues.
Summary:
- A series of 330 renal transplants identified 13 cases (3.9%) of ureteral or periureteral sclerosis.
- These complications presented early, were often asymptomatic except for anuria, and were associated with renal cavity dilation and deteriorated renal function.
- Surgical intervention had low mortality and morbidity, but 23% of transplants were lost to urological complications within 18 months.
Impact:
- Highlights the significant risk of graft loss associated with ureteral/periureteral sclerosis despite effective surgical treatment.
- Underscores the importance of vigilant monitoring for urological complications post-renal transplant.
- Provides valuable data for surgical planning and patient counseling regarding potential transplant outcomes.