Allograft urolithiasis is an uncommon, challenging, and potentially dangerous clinical problem. Treatment of allograft stones includes external shockwave lithotripsy (SWL), flexible ureteroscopy and lasertripsy (fURSL), or percutaneous nephrolithotomy (PCNL). A gap in the literature and guidelines exists regarding the treatment of patients in this setting. The aim of this systematic review was to collect preoperative and treatment characteristics and evaluate the outcomes of post-transplant SWL for stone disease.
A systematic search in the literature was performed, including articles up to March 2023. Only original English articles were selected.
Eight articles (81 patients) were included in the review. Patients were mainly male, with a mean age of 41.9 years (±7.07). The mean stone size was 13.18 mm (±2.28 mm). Stones were predominantly located in the kidney (n = 18, 62%). The overall stone-free rate and complication rates were 81% (range: 50-100%) and 17.2% (14/81), respectively, with only one major complication reported. A pre-operative drainage was placed in eleven (13.5%) patients. Five patients (6.71%) required a second treatment for residual fragments.
SWL is a safe and effective option to treat de novo stones after transplantation. Larger studies are needed to better address allograft urolithiasis management.
Journal of clinical medicine. 2023 Jun 29*** epublish ***
Clara Cerrato, Victoria Jahrreiss, Carlotta Nedbal, Francesco Ripa, Vincenzo De Marco, Manoj Monga, Amelia Pietropaolo, Bhaskar Somani
Department of Urology, University Hospital Southampton NHS Trust, Southampton SO16 6YD, UK., Department of Urology, Azienda Ospedaliera Universitaria Integrata di Verona, 37126 Verona, Italy., Department of Urology, University of California San Diego, San Diego, CA 92037, USA.