Related Experiment Videos
[Urinary fistula after transplantation: eleven cases]
M Jemni1, M Hajri, L Ben Hassine
1Service d'Urologie, Hôpital Charles Nicolle, Tunis, Tunisie.
Summary
Post-transplantation urinary fistulas, often caused by ureteral necrosis, require prompt surgical intervention. Surgical treatment offers better outcomes than percutaneous methods for these complex renal transplant complications.
Area of Science:
- Urology
- Transplantation Surgery
- Nephrology
Context:
- Urinary fistulas are a significant complication following renal transplantation.
- The incidence of urinary fistulas varies with ureteral reimplantation techniques.
Purpose:
- To delineate the anatomical characteristics of urinary fistulas post-renal transplant.
- To assess the efficacy of percutaneous and surgical interventions for these fistulas.
Summary:
- This study analyzed 11 post-transplantation urinary fistulas in 160 renal transplants (6.8% incidence).
- Surgical management (8 cases) yielded 7 successes and 1 death, while percutaneous treatment (3 cases) had 1 success.
- Ischemic ureteral necrosis was the primary cause in over half of the cases.
Impact:
- Highlights the importance of preserving ureteral blood supply during organ procurement.
- Underscores the necessity of early surgical intervention to prevent infectious complications.
- Provides insights into surgical strategies for complex post-transplant urinary fistulas.