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Management of Complicated Ureteric Strictures After Renal Transplantation: Case Series of Pyelovesicostomy With Boari Flap.
- Source :
-
Transplantation proceedings [Transplant Proc] 2015 Jul-Aug; Vol. 47 (6), pp. 1850-3. - Publication Year :
- 2015
-
Abstract
- Ureteric strictures are the most common urologic complication following renal transplantation. Different management options exist, ranging from temporizing drainage with ureteric stent or percutaneous nephrostomy tube to endoscopic interventions and open surgical repair. Although minimally invasive procedures are typically preferred, they often have a short duration of efficacy and multiple treatments are required. Open surgical repair allows for definitive management with minimal risk to the transplant. We review our experience with complicated ureteral strictures refractory to endoscopic management. We identified 10 renal transplant recipients who developed ureteric strictures that failed multiple endoscopic treatments. All 10 of these strictures were managed by means of pyelovesicostomy with the use of a Boari flap. The median time to ureteric stricture diagnosis was 2.5 months with a median of 4 endoscopic procedures before surgery. Median time from stricture diagnosis to surgical repair was 53 months. Overall success was 100%, with graft function being salvaged in all cases and no stricture recurrence after a mean follow-up of 18 months. We present a case series of complex ureteric strictures after renal transplantation managed by means of pyelovesicostomy with the use of Boari flap after failed endoscopic management. We demonstrate the safety and effectiveness of this approach of to treat complex ureteric strictures.<br /> (Copyright © 2015 Elsevier Inc. All rights reserved.)
- Subjects :
- Adult
Anastomosis, Surgical methods
Female
Humans
Male
Middle Aged
Postoperative Complications etiology
Time Factors
Transplant Recipients
Ureteral Obstruction etiology
Kidney Transplantation adverse effects
Postoperative Complications surgery
Surgical Flaps
Ureter surgery
Ureteral Obstruction surgery
Urinary Bladder surgery
Urologic Surgical Procedures methods
Subjects
Details
- Language :
- English
- ISSN :
- 1873-2623
- Volume :
- 47
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Transplantation proceedings
- Publication Type :
- Academic Journal
- Accession number :
- 26293062
- Full Text :
- https://doi.org/10.1016/j.transproceed.2015.02.020