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[Ureteral stenoses after renal transplantation]
Journal D'Urologie
|January 1, 1987
Summary
Kidney transplant recipients experienced a 2.9% rate of post-operative ureteral stenosis, primarily within the first year. Surgical repair led to restored or stabilized renal function in most patients, with significant graft survival rates.
Area of Science:
- Urology
- Transplantation Surgery
Context:
- Analysis of 953 kidney transplantations performed up to 1984.
- Focus on post-operative complications.
Purpose:
- To report the incidence and outcomes of post-operative ureteral stenoses in kidney transplant recipients.
- To evaluate the effectiveness of surgical repair and long-term graft survival.
Summary:
- 28 cases (2.9%) of ureteral stenosis were observed post-kidney transplantation.
- Stenoses were typically diagnosed within the first year.
- Surgical interventions included ureterovesical reimplantation or pyeloureteral anastomosis.
- Normal renal function was achieved in 64.2% and stabilized in 10.7% of patients.
- Actuarial graft survival was 66% at 1 year and 58% at 2 years.
Impact:
- Highlights the incidence of a significant complication in kidney transplantation.
- Demonstrates the efficacy of surgical management for ureteral stenosis.
- Provides data on long-term graft survival following surgical repair.