Ureteral Anastomosis of Ureter Transplanted to Native Ureter by Ureteral Stenosis in the Upper Third as a Complication After Renal Transplantation: Clinical Case
María Fernanda Rosero Morillo*
Specialist in Urology, Central University of Ecuador, Quito-Ecuador
*Corresponding Author: María Fernanda Rosero Morillo, Specialist in Urology,
Central University of Ecuador, Quito-Ecuador.
March 7, 2022; Published: May 13, 2022
Introduction: The incidence of urological complications in renal transplant patients has been reported from 2 to 3%. Currently, clinical and surgical management guidelines or treatment consensus have not been established for post-surgical complications in transplant patients, which is why describing ureteral reconstruction in a transplanted kidney due to stenosis in the upper third of the kidney serves to determine the best therapeutic surgical option with the flap to prevent loss of kidney function.
Clinical Case: A 51-year-old male patient, with a history of kidney transplantation 1 year ago, diagnosed with hydronephrosis due to stenosis of the transplanted ureter and urinary tract infections due to repeated nephrostomy and several failed endourological procedures.
Conclusions: Ureteral stenosis as a postoperative complication in kidney transplantation is one of the most important challenges for the reconstruction of the urinary tract, nephrostomy is the first line of treatment, however when traditional techniques fail, open ureteral anastomosis is a safe technique. and with good results in order to maintain the renal function of the transplanted kidney and offer the patient a better quality of life.
Keywords: Ureteral Stenosis; Ureteral Anastomosis; Transplanted Kidney
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