Transurethral incision of ureteroneocystostomy strictures in kidney transplant recipients

R. Katz, D. Pode, O. N. Gofrit, O. Z. Shenfeld, E. H. Landau, D. Golijanin, A. Shapiro

Research output: Contribution to journalArticlepeer-review

15 Scopus citations

Abstract

OBJECTIVES: To report the treatment of patients who presented with vesico-ureteric stricture after kidney transplantation, using a minimally invasive endourological approach. PATIENTS AND METHODS: Patients (10 men and four women, mean age 34 years, range 22-55) were assessed at presentation by serum creatinine level, ultrasonography and intravenous pyelography when the serum creatinine level was < 200 μmol/L. When there was hydronephrosis of the allograft a percutaneous antegrade pyelogram was taken, followed by inserting a nephrostomy. After decompression a stent nephrostomy was passed into the bladder and the strictures at the vesico-ureteric junction incised along the stent during cystoscopy. RESULTS: All 14 patients were treated endourologically by an endoscopic incision through the bladder; 13 fared well and one died from sepsis and transplantation problems. The mean follow-up was 8 months. CONCLUSIONS: Simple incision of the stricture via cystoscopy was safe and effective, and succeeded in most patients. The endourological management of ureteric lesions is feasible and is currently our first-line management of ureteric complications after kidney transplantation.

Original languageEnglish
Pages (from-to)769-771
Number of pages3
JournalBJU International
Volume92
Issue number7
DOIs
StatePublished - Nov 2003
Externally publishedYes

Keywords

  • Cystoscopy
  • Kidney transplantation
  • Stricture
  • Ureteroneocystostomy

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