Ureteric stricture is the most common urological complication following renal transplantation.
Management often involves endo-urological interventions and open surgery. The definitive treatment is surgical reconstruction to restore continuity. Where this is not possible or contra-indicated and a stent cannot be placed in the ureter, an extra-anatomic stent (EAS) could be used to bypass a complete ureteric obstruction. Using an existing nephrostomy tract, a percutaneous stent is placed in the kidney and is tunneled under the skin into the bladder establishing extra-anatomical urinary drainage. We report the use of a novel EAS system in a patient with transplant ureteric stricture when antegrade stent placement or surgical reconstruction was not possible.
Written by:
Tahir W, Hakeem A, White A, Irving HC, Lloyd SN, Ahmad N. Are you the author?
Division of Surgery, Department of Transplantation, St James's University Hospital, Leeds, United Kingdom.
Reference: Am J Transplant. 2014 Jul 1. Epub ahead of print.
doi: 10.1111/ajt.12778
PubMed Abstract
PMID: 24984684
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