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Related Concept Videos

Kidney Transplant I: Introduction01:28

Kidney Transplant I: Introduction

A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...
Kidney Transplant III: Nursing Management01:16

Kidney Transplant III: Nursing Management

Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
Imaging Studies I: Kidney, Ureter, and Bladder Studies01:28

Imaging Studies I: Kidney, Ureter, and Bladder Studies

Kidney, Ureter, and Bladder (KUB) StudiesKidney, Ureter, and Bladder (KUB) studies are standard diagnostic imaging procedures used to assess the anatomy of the urinary system. They are commonly utilized for patients experiencing abdominal pain or urinary symptoms. By using a simple X-ray of the abdomen, KUB studies can reveal structural and pathological abnormalities within the kidneys, ureters, and bladder. These studies are particularly valuable in diagnosing kidney stones, urinary...
Imaging Studies II: Ultrasonography01:24

Imaging Studies II: Ultrasonography

IntroductionUltrasonography, or renal ultrasound, is a noninvasive medical imaging technique that uses high-frequency sound waves to visualize the kidneys, ureters, bladder, and surrounding tissues.Indications for Urinary System UltrasonographyUrinary system ultrasonography is indicated in various clinical scenarios, such as:Kidney Stones (Urolithiasis): To detect and monitor the size and presence of kidney or urinary tract stones.Hydronephrosis: To assess the dilation of the renal pelvis and...
Imaging Studies V: Intravenous Urography and Retrograde Pyelography01:22

Imaging Studies V: Intravenous Urography and Retrograde Pyelography

IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...

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Non-invasive Imaging of Acute Allograft Rejection after Rat Renal Transplantation Using 18F-FDG PET
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Routine Kidney Graft Ultrasound After Elective Ureteric Stent Removal: Does it Help?

R Haridian Sosa Barrios1, Víctor Burguera Vion2, Daniel Villa Hurtado2

  • 1Nephrology Department, Hospital Universitario Ramón y Cajal, IRYCIS, Madrid, Spain; Universidad de Alcalá de Henares, UAH, Madrid, Spain; Grupo de Nefrología Diagnóstica e Intervencionista (GNDI) de la Sociedad Española de Nefrología (SEN).

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Summary

Routine ultrasound after kidney transplant ureteral stent removal aids early complication detection and management. This cost-effective point-of-care ultrasound improves graft survival by enabling timely interventions.

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Area of Science:

  • Nephrology
  • Urology
  • Transplant Surgery

Background:

  • Kidney transplantation (KTx) is the optimal renal replacement therapy, yet improving outcomes remains a challenge.
  • Ureteral stenting in KTx prevents complications, but optimal stent removal timing and post-removal monitoring lack consensus.
  • Point-of-care ultrasound (POCUS) is increasingly adopted by nephrologists.

Purpose of the Study:

  • To determine the incidence of urological complications detected by routine ultrasound after ureteral stent removal (RUSUS) in kidney transplant recipients.
  • To assess if RUSUS findings altered patient management and evaluate the utility of this diagnostic tool.
  • To investigate the efficiency of POCUS in guiding clinical decisions post-KTx.

Main Methods:

  • Retrospective analysis of kidney transplant recipients undergoing ureteral stent removal.
  • Implementation of routine ultrasound after ureteral stent removal (RUSUS) for complication screening.
  • Evaluation of the impact of RUSUS findings on patient management and treatment decisions.

Main Results:

  • RUSUS facilitated timely diagnosis and early treatment of urological complications, contrary to some previous data.
  • POCUS findings directly influenced clinical management, leading to prompt interventions.
  • The study demonstrated that RUSUS is a cost-effective and reproducible test for KTx patients.

Conclusions:

  • Routine ultrasound after ureteral stent removal is valuable for detecting complications post-kidney transplantation.
  • Point-of-care ultrasound, particularly around 2 weeks after stent removal, is efficient in guiding clinical decisions.
  • Early detection and management via POCUS can improve graft and patient survival in kidney transplant recipients.