Related Experiment Videos
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.
Urology
|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.
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:
- 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.