[The treatment of stones in the transplanted kidney]

The paper reports 3 cases of positive results achieved at extracorporeal lithotripsy for concrements in the transplanted kidney. To avoid such potential complications as subcapsular hematoma, rupture of the transplant, its ureter occlusion by the stone fragments, acute pyelonephritis, lithotripsy should be conducted in sparing regimen (low and moderate power, number of impulse per a session not more than 2000) under ultrasound control. In defective urine outflow from the transplant as a result of pretreatment obstruction by the stone or posttreatment obstruction by its fragments a drainage must be done by means of transcutaneous puncture nephrostomy.