Ultrasound guided percutaneous intervention in the complicated renal transplant

We successfully performed 19 ultrasound guided percutaneous interventional procedures on 10 renal transplant recipients with urological complications. Seven of the procedures were diagnostic (antegrade pyelograms) and 12 therapeutic (aspiration of pelvic fluid collections 9, and percutaneous nephrostomies 3). All procedures were without major complications. The diagnostic procedures provided information which' contributed to better patient management. The therapeutic procedures improved the renal functions of patients and stabilized them for surgical management when necessary. We conclude that ultrasound guided percutaneous interventional procedures are safe and they may be helpful in the management of urological complications in renal transplant recipients.