Department of Urology, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Charitéplatz 1, 10117, Berlin, Germany.
Curr Urol Rep. 2020 Jan 18;21(1):3. doi: 10.1007/s11934-020-0956-7.
In the setting of kidney transplantation, the ureter is a common source for complications. As a result, prevention of ureteral complications and their management is of crucial importance. In this context, the purpose of this review is to summarize recent literature on the ureter in the kidney transplant setting with a special focus on new findings. We conducted a PubMed and Medline search over the last 10 years to identify all new publications related to ureteroneoimplantations, stents and management of complications in the kidney transplant setting.
Performance of the "Lich-Gregoir" technique for ureteroneocystostomy seems to be favourable in regard to postoperative complications when compared with other methods described in the literature. Moreover, major urologic complications can be further reduced by ureteral stenting. A new approach for management of ureteral strictures in renal transplants is presented. We discussed the usage of a ureteral stent covered with a biostable polymer aiming to prevent tissue ingrowth into the lumen as a new option for management of ureteral stricture in the kidney transplant setting.
在肾移植中，输尿管是常见的并发症来源。因此，预防输尿管并发症及其处理至关重要。在此背景下，本文旨在总结近 10 年来肾移植中输尿管的相关文献，重点介绍新发现。我们对过去 10 年的 PubMed 和 Medline 进行了检索，以确定所有与肾移植中输尿管吻合术、支架和并发症处理相关的新发表文献。
与文献中描述的其他方法相比，“Lich-Gregoir”技术行输尿管膀胱再植术似乎术后并发症更少。此外，输尿管支架置入可进一步减少主要的泌尿外科并发症。本文提出了一种新的肾移植输尿管狭窄处理方法。我们讨论了一种新型输尿管支架的应用，该支架表面覆盖一种生物稳定聚合物，以防止组织向内生长到管腔，作为治疗肾移植中输尿管狭窄的新选择。
