Related Experiment Video
Updated: Oct 11, 2025
Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
Published on: April 12, 2021
[Late kidney transplant complications treatment.]
Angel Tejido Sánchez1, Manuel Pamplona Casamayor1, José Manuel Duarte Ojeda1
1Servicio de Urología. Hospital Universitario 12 de Octubre. Universidad Complutense de Madrid. España.
Objectives:
Late kidney transplant complication might compromise graft durability, thus the need for early detection and treatment.
Material And Methods:
A PubMed review including the following MeSH terms was included: kidney transplant¨, ¨complications¨, ¨vascular complications¨,¨transplant renal artery stenosis¨, ¨ureteral obstruction¨,¨urologic complications¨, ¨forgotten stent¨, ¨vesicoureteralreflux¨, ¨urinary lithiasis¨ e ¨incisional hernia¨. Metanalysis and systematic review in spanish and English were included from January 2015 till February 2021, as well as relevant selected manuscripts. RESULTS: We defined as late complications those appearing at 3 months from kidney transplant. Those include vascular complications (renal artery stricture), urinary tract (ureteral stricture, permanent double Js, pyelonephritis due to reflux, urinary stones) and abdominal wall (incisional hernia).
Conclusions:
Late kidney transplant complications remain high still with advancement on surgical technique and immunotherapy. Those complication might compromise the graft durability and so early detection is or primary importance.
Insights
Late kidney transplant complications, including vascular and urinary issues, can reduce graft survival. Early detection and treatment are crucial for long-term graft durability after kidney transplantation.
Area of Science:
- Nephrology
- Transplant Surgery
- Urology
Background:
- Late complications following kidney transplantation can significantly impact graft longevity.
- Despite advancements in surgical techniques and immunosuppression, these complications remain a concern.
Purpose of the Study:
- To review and define late complications after kidney transplantation.
- To emphasize the importance of early detection and management of these post-transplant issues.
Main Methods:
- A comprehensive PubMed literature review was conducted.
- MeSH terms related to kidney transplant complications were utilized.
- Systematic reviews and meta-analyses published between January 2015 and February 2021 were included.
Main Results:
- Late complications were defined as those occurring at least 3 months post-transplant.
- Identified complications include vascular issues (e.g., renal artery stenosis), urinary tract problems (e.g., ureteral strictures, pyelonephritis, stones), and abdominal wall hernias.
Conclusions:
- Late kidney transplant complications persist despite improved medical and surgical interventions.
- Early identification and prompt treatment are paramount to preserving kidney graft durability.
Related Concept Videos
01:26Kidney Transplant II: Surgical Procedure
01:16Kidney Transplant III: Nursing Management
01:28Kidney Transplant I: Introduction
01:28Chronic Kidney Disease III: Interprofessional Care
01:20Acute Kidney Injury V: Interprofessional Care
01:30Acute Kidney Injury IV: Diagnostic Studies and Prevention