Król R, Ziaja J, Chudek J, Heitzman M, Pawlicki J, Wiecek A, Cierpka L
Department of General, Vascular and Transplant Surgery, Silesian Medical University, ul. Francuska 20-24, 40-027 Katowice, Poland.
Transplant Proc. 2006 Jan-Feb;38(1):127-30. doi: 10.1016/j.transproceed.2005.12.100.
Urological complications after kidney transplantation develop in 2.5% to 14.1% of recipients. The aim of the study was to analyze postoperative urological complications that required surgical treatment. Thirty-three urological complications developed in 30 among 321 patients (9.3%). Complications were divided into two groups: I, related to urine retention (60.6%); and II, related to urine leakage (39.4%). For 70% of group I, in patients a double pigtail ureteral stent was inserted; for 53.8% of group II, a vesicoureteric reanastomosis was performed. Good urine outflow was achieved in 90.0% of patients. Total early graft loss was 20% of patients. Urological complications related to stenosis or leakage can be treated with ureteral stent insertion or vesicoureteral reanastomosis. Hemorrhage or infection coexisting with a urological complication increased the risk of early graft loss. Long-term graft survival among patients after successful treatment of urological complications was similar to that of patients without them.
