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Extracorporeal shock-wave lithotripsy in transplanted kidney

A Atala¹, G S Steinbock, J I Harty

¹Department of Surgery, University of Louisville School of Medicine, Kentucky.

|January 1, 1993

Summary

Kidney stones (urolithiasis) are an uncommon complication after kidney transplants. Extracorporeal shock-wave lithotripsy successfully treated a patient with ureteropelvic junction stones without impacting kidney function.

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Area of Science:

Nephrology
Urology

Background:

Urolithiasis is an infrequently documented urologic complication following renal transplantation.
Understanding the management of kidney stones in transplant recipients is crucial for preserving graft function.

Observation:

A renal transplant patient presented with painless gross hematuria, a rare symptom in this population.
Intravenous pyelogram revealed a 4 x 7-mm calculus at the ureteropelvic junction, leading to moderate hydronephrosis.

Findings:

Successful treatment of ureteropelvic junction calculi was achieved using extracorporeal shock-wave lithotripsy (ESWL).
Post-treatment evaluation showed no significant changes in serum creatinine or 24-hour creatinine clearance, indicating preserved renal function.

Implications:

Related Experiment Videos

Extracorporeal shock-wave lithotripsy is a viable and safe treatment option for urolithiasis in renal transplant recipients.
This case highlights the importance of recognizing and managing urolithiasis to prevent potential graft dysfunction.