TY - JOUR
TI - Prolonged ureteral stenting in obstruction after renal transplantation:
Long-term results
AU - Pappas, P
AU - Stravodimos, KG
AU - Adamakis, I
AU - Leonardou, P and
AU - Zavos, G
AU - Constantinides, C
AU - Kostakis, A
AU - Giannopoulos, A
JO - Transplantation Proceedings
PY - 2004
VL - 36
TODO - 5
SP - 1398-1401
PB - EXCERPTA MEDICA INC-ELSEVIER SCIENCE INC
SN - 0041-1345
TODO - 10.1016/j.transproceed.2004.05.016
TODO - null
TODO - Background. Renal transplantation is an effective treatment for
end-stage renal disease. Ureteral stenosis is the most frequent urologic
complication. We report our long-term follow-up results concerning
endourologic treatment of ureteral obstruction after renal
transplantation.
Methods. Between May 1997 and September 2000, 15 patients with renal
transplant obstructive uropathy were managed with percutaneous
nephrostomy and prolonged ureteral stenting.
Results. Petcutaneous nephrostomies were performed successfully in all
15 kidneys. In 13 patients, antegrade ureteral stenting was attempted,
which was successful in 11 patients (85%). After prolonged ureteral
stenting (mean duration 15 months), the stent was removed in all
patients, 90% of whom had no recurrence. During follow-up (36 to 71
months; mean 51), urea, creatinine, sodium, and potassium determinations
and ultrasound scans were performed. Success was defined as a reduction
in hydronephrosis. No major complications were observed.
Conclusions. Modern endourologic procedures have replaced open
reconstructive surgery in most patients with ureteral obstruction after
renal transplantation, because they may offer a definitive treatment
with low morbidity.
ER -