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A Journal on Nephrology and Urology

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Minerva Urologica e Nefrologica 2018 Mar 28

DOI: 10.23736/S0393-2249.18.03078-3


language: English

Minimally invasive approach for the management of urological complications after renal transplantation: single center experience

Orkunt ÖZKAPTAN 1 , Cuneyd SEVINC 2, Muhsin BALABAN 2, Tahir KARADENIZ 1

1 Liv Hospital Ulus, Istanbul, Turkey; 2 Medicana International Hospital, Istanbul, Turkey


BACKROUND: The aim of the study was to characterise urological complications after renal transplantation and to evaluate the role of minimally invasive management for urological complications.
METHODS: A total of 920 kidney transplantations were performed between 2008 and 2015. All patients were followed up for at least 1 year after transplantation. Complications regarded as urological were urinary leakage, ureteral stricture, urinary malignancy, bladder outlet obstruction (BOO) and urinary calculi. We evaluated data from the time of occurrence of urological complications and the type of the management prescribed.
RESULTS: Among 920 transplantations performed in our clinic, 41 (4.4%) urological complications arose. Twenty (48.8%) of the complications occurred during the first 3 months and 21 (51.2%) occurred after 3 months, postoperatively. Ureteral strictures were found in 14 (34.1%) patients, urinary tract stones in seven (17%), BOO in six (14.6%) and urinary leakage was observed in five (12.1%) patients. Ureteral stricture was managed with endoscopic approach in eight (61.3%) patients. Urinary tract stones and urinary leakage were managed in seven (100%) and four (75%) patients with endoscopic approach. Overall 29 (70.7%) of 41 urological complications were managed with endourological approaches.
CONCLUSİONS: It is likely that the importance of open surgery could decrease in the future. Endoscopic management of urological complications have come to have an important role in the treatment of urological complications after transplantation.

KEY WORDS: Kidney - Transplant complications - Endourological treatment

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Publication History

Article first published online: March 28, 2018
Manuscript accepted: March 22, 2018
Manuscript revised: March 12, 2018
Manuscript received: October 24, 2017

Cite this article as

Özkaptan O, Sevinc C, Balaban M, Karadeniz T. Minimally invasive approach for the management of urological complications after renal transplantation: single center experience. Minerva Urol Nefrol 2018 Mar 28. DOI: 10.23736/S0393-2249.18.03078-3

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