[Late surgical complications in kidney transplantation. Experience and results]

The present study reports the late surgical complications observed following 270 renal transplant procedures performed at our department. Their etiologic, clinical, and therapeutic aspects are discussed. With respect to arterial stenosis, we consider percutaneous transluminal angioplasty the procedure of choice when drug therapy fails to control hypertension. Surgery should be reserved for those cases where this procedure fails. We advocate treatment of lymphoceles whose size cause displacement or compression of the excretory tract using drainage and instillation of povidone iodide as advocated by González Martín. Stenosis of the excretory tract is the most common complication in our series. Treatment was by corrective surgery. In our view, the etiologic and ultrastructural features of this complication make it unamenable to endourologic correction.