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[Urinary lithiasis in transplanted kidney]

J A Lancina Martín1, J M García Buitrón, J Díaz Bermúdez

  • 1Servicio de Urología, Hospital Juan Canalejo, La Coruña, España.

Archivos Espanoles De Urologia
|March 1, 1997
PubMed
Summary
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Kidney transplant recipients can develop upper urinary tract calculi, a rare complication. Predisposing factors and stone composition are similar to non-transplant patients, and timely intervention preserves graft function.

Area of Science:

  • Nephrology
  • Urology
  • Transplantation Medicine

Context:

  • Renal transplantation is a life-saving procedure for end-stage renal disease.
  • Post-transplant complications require careful monitoring and management.
  • Urolithiasis is a potential, though uncommon, complication following renal transplantation.

Purpose:

  • To determine the incidence and risk factors of upper urinary tract calculus formation in renal transplant recipients.
  • To analyze the characteristics, treatment, and outcomes of post-transplant urolithiasis.

Summary:

  • A retrospective review of 794 renal transplants identified 16 patients (2%) with upper urinary tract calculi.
  • Predisposing factors included obstructive uropathy, recurrent UTIs, and metabolic abnormalities (hyperuricosuria).

Related Experiment Videos

  • Calculi were predominantly uric acid, with various treatment modalities employed, including conservative management, alkalinization, and surgical interventions.

    • Impact:

    • Post-transplant urolithiasis is uncommon but multifactorial.
    • Stone characteristics and predisposing factors resemble those in non-transplant patients.
    • Appropriate treatment and prophylaxis are crucial for preserving renal graft function and long-term outcomes.