Authors: Hejia Yuan Diandong Yang Yuanshan Cui Changping Men Zhenli Gao L Shi Jitao Wu
Publish Date: 2015/04/02
Volume: 33, Issue: 12, Pages: 2079-2085
Abstract
Urolithiasis is a rare complication of renal transplantation and there is limited evidence to guide treatment Management of stones in the transplanted kidney can be challenging We present our experience in treating upper urinary tract UUT allograft lithiasis using minimally invasive procedures with the aim of demonstrating their efficacy and safety in renal transplant recipientsThe records of 1615 patients undergoing kidney transplantation and followup in our center between August 2000 and July 2014 were reviewed The mode of presentation donor type onset time immunosuppression protocol stone character therapeutic intervention and outcomes of those with UUT allograft lithiasis were recorded Extracorporeal shock wave lithotripsy SWL flexible ureteroscopy FURS and percutaneous nephrolithotomy PCNL were used in the management of these calculi Stone composition was analyzed after the procedureNineteen renal transplant recipients 12 nine males and ten females were found to have UUT allograft calculi Of these five underwent SWL 263 four had FURS combined with lithotomy forceps extraction or holmium laser disruption 211 six had PNCL 316 one submitted to FURS after two failed sessions of SWL 53 one combined PCNL and FURS 53 and two spontaneously of stones 105 All patients were rendered stonefree with a combination of treatments and none required a blood transfusion
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