Τίτλος:
Obstructive uropathy in the transplanted kidney: Definitive management
with percutaneous nephrostomy and prolonged ureteral stenting
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Background and Purpose: Renal transplantation is an effective treatment
for end-stage renal disease. Ureteral stenosis is the most frequent
urologic complication. We report our experience with percutaneous
nephrostomy and antegrade ureteral stenting, which may offer a primary
and definitive alternative to open surgery.
Patients and Methods: Fifteen patients with renal allograft obstructive
uropathy were managed with percutaneous nephrostomy and prolonged
ureteral stenting.
Results: Percutaneous nephrostomies were successfully performed in all
15 kidneys: In 13 patients, antegrade ureteral stenting was attempted,
this being successful in 11 (85%). After prolonged ureteral stenting
(mean duration 15 months), the stent was removed in eight patients, and
six of them (75%) did not have recurrences. During follow-up, urea,
creatinine, sodium, and potassium determinations and ultrasound scans
were performed, and success was confirmed by the decline of creatinine
and reduction in hydronephrosis. No major complication was observed.
Conclusion: Percutaneous nephrostomy and ureteral stenting is a safe and
effective treatment for renal allograft obstructive uropathy. Prolonged
ureteral stenting may offer a definitive treatment with low morbidity.
Συγγραφείς:
Pappas, P
Giannopoulos, A
Stravodimos, KG
Zavos, G and
Alexopoulos, T
Boletis, J
Tzortzis, G
Kostakis, A
Περιοδικό:
Journal of Endourology
Εκδότης:
MARY ANN LIEBERT INC PUBL
DOI:
10.1089/08927790152596316
