Ureterocalicostomy Using Native Ureter in an Allograft Kidney: A Case Report

Ureteral obstruction is the most common complication of renal transplant. It is managed through minimal invasive procedures or open surgeries. Herein, we report the procedure and clinical outcomes of a case of ureterocalicostomy with lower pole nephrectomy in a patient with extensive ureteral stricture after renal transplant. Based on our search, there are 4 cases of ureterocalicostomy in allograft kidney in the literature, and only 1 of these included the application of partial nephrectomy. We offer this rarely applied option for those cases with extensive allograft ureteral stricture and very small, contracted, and intrarenal pelvis.