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Updated: May 29, 2026
18:48
Murine Renal Transplantation Procedure
Published on: July 10, 2009
Back-Table Stone Removal During Renal Transplantation: A Systematic Review
Ignacio Gondolesi1, Samer Jaber Di Tommaso1, Ron Shapiro2
1Department of Urology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Clinical Transplantation
|May 28, 2026
Summary
Kidney stones (nephrolithiasis) are no longer a contraindication for kidney donation. Ex vivo stone management during transplantation is safe and effective, expanding the donor pool despite low-quality evidence.
Area of Science:
- Nephrology
- Urology
- Transplantation Surgery
Background:
- Nephrolithiasis was a relative contraindication for kidney donation.
- Donor kidney shortages necessitate expanding the donor pool.
- Ex vivo stone management during renal transplantation is an emerging strategy.
Purpose of the Study:
- To review the current state of ex vivo stone management techniques for kidney donors.
- To assess the safety, feasibility, and outcomes of these procedures.
Main Methods:
- Systematic literature review of PubMed, Scopus, Web of Science, and LILACS.
- Inclusion of English and Spanish studies on back-table stone removal.
- Risk of bias assessment using Joanna Briggs Institute tools.
Main Results:
- 40 manuscripts with 371 cases were included.
- High procedural success rates with low recurrence and complication rates.
- Mean procedure time was 19.8 minutes; minimal impact on allograft function.
Conclusions:
- Urolithiasis should not contraindicate kidney donation.
- Back-table stone management is safe and feasible.
- Further research is needed to standardize techniques and patient selection.
Keywords:
kidney calculikidney transplantationnephrolithiasispyelotomyureteral calculiureteroscopyurolithiasisMore Related Videos
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