Related Experiment Videos
[Urinary fistula after renal transplantation]
C Guerin1, P Heritier, F Levigne
1Service de Néphrologie, Dialyse et Transplantation rénale, Hôpital Nord, Saint-Priest-en-Jarez.
Journal D'Urologie
|January 1, 1990
Summary
Urinary leaks occurred in 26 of 336 kidney transplants, with most stemming from anastomotic issues. Surgical intervention was effective, though some kidney graft loss was directly linked to these urinary complications.
Area of Science:
- Urology
- Transplantation Surgery
Context:
- A retrospective analysis of 336 renal transplantations performed between March 1979 and December 1988.
- Identified 26 cases of urinary leak in 25 patients, categorizing them into ischemic and non-ischemic types.
Purpose:
- To analyze the incidence, causes, and outcomes of urinary leaks following renal transplantation.
- To evaluate the effectiveness of surgical management for urological complications.
Summary:
- 11 ischemic urinary leaks could potentially be prevented by improved graft removal techniques.
- 15 non-ischemic urinary leaks were primarily associated with anastomotic leakage.
- Surgical treatment was employed for all urological complications, resulting in one mortality.
Impact:
- The one-year graft survival rate was 67% for the affected kidneys.
- Three cases of graft loss were directly attributed to urinary leaks.
- Highlights the significance of managing urinary leaks in renal transplant recipients.