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Published in: BMC Urology 1/2020

Open Access 01-12-2020 | Kidney Transplantation | Case report

Retrograde ureteric stent insertion from percutaneous suprapubic access to the bladder in renal transplant recipients with ureteric stenosis: a novel minimally invasive technique

Authors: Jian-Hui Wu, Chun-Bai Mo, Li Dong-Zhai, Fei Luo, Qing-Tong Ma, Shi-Qiang Yang

Published in: BMC Urology | Issue 1/2020

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Abstract

Background

Ureteric stricture is a common and salvaging complications after renal transplantation. Two treatment methods are usually used, retrograde ureteral stent placement and percutaneous nephrostomy. The former has a higher failure rate, the latter has a great risk. Therefore, a safe and reliable treatment is needed.

Case presentation

A technique of retrograde insertion of ureteral stent was established, which was applicable in three transplant recipients with post-transplant ureteral stenosis, and the data was retrospectively recorded. The patients are 2 men and 1 woman, ages 44, 27 and 32 years. These patients underwent a total of five times of retrograde insertion of ureteral stent between 2018 and 2019. None of these patients had any postoperative complication, but all patients had complete recovery from oliguric status within two weeks.

Conclusions

The retrograde ureteric stent insertion by percutaneous suprapubic access to the bladder (RUS-PSAB) was demonstrated feasibility and safety in a case series with short-term follow-up. However, larger prospective studies are needed.
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Literature
1.
go back to reference Streeter EH, Little DM, Cranston DW, Morris PJ. The urological complications of renal transplantation: a series of 1535 patients. BJU Int. 2002;90:627–34.CrossRefPubMed Streeter EH, Little DM, Cranston DW, Morris PJ. The urological complications of renal transplantation: a series of 1535 patients. BJU Int. 2002;90:627–34.CrossRefPubMed
2.
go back to reference Kwong J, Schiefer D, Aboalsamh G, Archambault J, Luke PP, Sener A. Optimal management of distal ureteric strictures following renal transplantation: a systematic review. Transpl Int. 2016;29:579–88.CrossRefPubMed Kwong J, Schiefer D, Aboalsamh G, Archambault J, Luke PP, Sener A. Optimal management of distal ureteric strictures following renal transplantation: a systematic review. Transpl Int. 2016;29:579–88.CrossRefPubMed
3.
go back to reference Jaskowski A, Jones RM, Murie JA, Morris PJ. Urological complications in 600 consecutive renal transplants. Br J Surg. 1987;74:922–5.CrossRefPubMed Jaskowski A, Jones RM, Murie JA, Morris PJ. Urological complications in 600 consecutive renal transplants. Br J Surg. 1987;74:922–5.CrossRefPubMed
4.
go back to reference Bach C, Kabir M, Zaman F, Kachrilas S, Masood J, Junaid I, et al. Endourological management of ureteric strictures after kidney transplantation: stenting the stent. Arab J Urol. 2011;9:165–9.CrossRefPubMedPubMedCentral Bach C, Kabir M, Zaman F, Kachrilas S, Masood J, Junaid I, et al. Endourological management of ureteric strictures after kidney transplantation: stenting the stent. Arab J Urol. 2011;9:165–9.CrossRefPubMedPubMedCentral
5.
go back to reference Mostafa SA, Abbaszadeh S, Taheri S, Nourbala MH. Percutaneous nephrostomy for treatment of posttransplant ureteral obstructions. Urol J. 2008;5:79–83.PubMed Mostafa SA, Abbaszadeh S, Taheri S, Nourbala MH. Percutaneous nephrostomy for treatment of posttransplant ureteral obstructions. Urol J. 2008;5:79–83.PubMed
6.
go back to reference Mano R, Golan S, Holland R, Livne PM, Lifshitz DA. Retrograde endoureterotomy for persistent ureterovesical anastomotic strictures in renal transplant kidneys after failed antegrade balloon dilation. Urology. 2012;80:255–9.CrossRefPubMed Mano R, Golan S, Holland R, Livne PM, Lifshitz DA. Retrograde endoureterotomy for persistent ureterovesical anastomotic strictures in renal transplant kidneys after failed antegrade balloon dilation. Urology. 2012;80:255–9.CrossRefPubMed
7.
go back to reference Manassero F, Vistoli F, Mogorovich A, Maria DEM, Boggi U, Selli C. Early and late ureteral complications after renal transplant. Minerva Urol Nefrol. 2017;69:613–8.PubMed Manassero F, Vistoli F, Mogorovich A, Maria DEM, Boggi U, Selli C. Early and late ureteral complications after renal transplant. Minerva Urol Nefrol. 2017;69:613–8.PubMed
8.
go back to reference Choi YS, Kim KS, Choi SW, Bae WJ, Hong SH, Lee JY, et al. Ureteral complications in kidney transplantation: analysis and management of 853 consecutive laparoscopic living-donor nephrectomies in a single center. Transplant Proc. 2016;48:2684–8.CrossRefPubMed Choi YS, Kim KS, Choi SW, Bae WJ, Hong SH, Lee JY, et al. Ureteral complications in kidney transplantation: analysis and management of 853 consecutive laparoscopic living-donor nephrectomies in a single center. Transplant Proc. 2016;48:2684–8.CrossRefPubMed
9.
go back to reference Krajewski W, Dembowski J, Kołodziej A, Małkiewicz B, Tupikowski K, Matuszewski M, et al. Urological complications after renal transplantation—a single centre experience. Cent European J Urol. 2016;69:306–11.PubMedPubMedCentral Krajewski W, Dembowski J, Kołodziej A, Małkiewicz B, Tupikowski K, Matuszewski M, et al. Urological complications after renal transplantation—a single centre experience. Cent European J Urol. 2016;69:306–11.PubMedPubMedCentral
10.
go back to reference Duty B, Lam M. Management of stone disease in renal transplant kidneys. Smith's textbook of endourology, Fourth Edited. 2019;827–35 Duty B, Lam M. Management of stone disease in renal transplant kidneys. Smith's textbook of endourology, Fourth Edited. 2019;827–35
11.
go back to reference Özkaptan O, Sevinc C, Balaban M, Karadeniz T. Minimally invasive approach for the management of urological complications after renal transplantation: single center experience. Minerva Urol Nefrol. 2018;70:422–8.CrossRefPubMed Özkaptan O, Sevinc C, Balaban M, Karadeniz T. Minimally invasive approach for the management of urological complications after renal transplantation: single center experience. Minerva Urol Nefrol. 2018;70:422–8.CrossRefPubMed
12.
go back to reference Balaban M, Ozkaptan O, Sevinc C, Karadeniz T. Minimally invasive approach to ureteral stricture in transplant kidney by periodic retrograde ureteral stent placement and exchange. Transplant Proc. 2018;50:3405–10.CrossRefPubMed Balaban M, Ozkaptan O, Sevinc C, Karadeniz T. Minimally invasive approach to ureteral stricture in transplant kidney by periodic retrograde ureteral stent placement and exchange. Transplant Proc. 2018;50:3405–10.CrossRefPubMed
13.
go back to reference Vashishtha S, Sureka SK, Agarwal S, Srivastava A, Prabhakaran S, Kapoor R, et al. Urethral stricture and stone: their coexistence and management. Urol J. 2014;11:1204–10.PubMed Vashishtha S, Sureka SK, Agarwal S, Srivastava A, Prabhakaran S, Kapoor R, et al. Urethral stricture and stone: their coexistence and management. Urol J. 2014;11:1204–10.PubMed
14.
go back to reference Halstuch D, Ehrlich Y, Shenhar C, Mano R, Baniel J, Margel D, et al. Transplant kidney retrograde ureteral stent placement and exchange: overcoming the challenge. Urology. 2018;111:220–4.CrossRefPubMed Halstuch D, Ehrlich Y, Shenhar C, Mano R, Baniel J, Margel D, et al. Transplant kidney retrograde ureteral stent placement and exchange: overcoming the challenge. Urology. 2018;111:220–4.CrossRefPubMed
15.
go back to reference Gerrard ER Jr, Burns JR, Young CJ, Urban DA, Hammontree LN, El-Galley R, et al. Retrograde stenting for obstruction of the renal transplant ureter. Urology. 2005;66:256–60 ((discussion 60)).CrossRefPubMed Gerrard ER Jr, Burns JR, Young CJ, Urban DA, Hammontree LN, El-Galley R, et al. Retrograde stenting for obstruction of the renal transplant ureter. Urology. 2005;66:256–60 ((discussion 60)).CrossRefPubMed
16.
go back to reference Hyams E, Marien T, Bruhn A, Quirouet A, Andonian S, Shah O, et al. Ureteroscopy for transplant lithiasis. J Endourol. 2012;26:819–22.CrossRefPubMed Hyams E, Marien T, Bruhn A, Quirouet A, Andonian S, Shah O, et al. Ureteroscopy for transplant lithiasis. J Endourol. 2012;26:819–22.CrossRefPubMed
17.
go back to reference Zavos G, Pappas P, Karatzas T, Karidis NP, Bokos J, Stravodimos K, et al. Urological complications: analysis and management of 1525 consecutive renal transplantations. Transplant Proc. 2008;40:1386–90.CrossRefPubMed Zavos G, Pappas P, Karatzas T, Karidis NP, Bokos J, Stravodimos K, et al. Urological complications: analysis and management of 1525 consecutive renal transplantations. Transplant Proc. 2008;40:1386–90.CrossRefPubMed
18.
go back to reference Dadkhah F, Asgari MA, Tara A, Safarinejad MR. Modified ureteroneocystostomy in kidney transplantation to facilitate endoscopic management of subsequent urological complications. Int Urol Nephrol. 2010;42:285–93.CrossRefPubMed Dadkhah F, Asgari MA, Tara A, Safarinejad MR. Modified ureteroneocystostomy in kidney transplantation to facilitate endoscopic management of subsequent urological complications. Int Urol Nephrol. 2010;42:285–93.CrossRefPubMed
19.
go back to reference Wasnick RJ, Butt KM, Laungani G, Shirani K, Hong JH, Adamsons RJ, et al. Evaluation of anterior extravesical ureteroneocystostomy in kidney transplantation. J Urol. 1981;126:306–7.CrossRefPubMed Wasnick RJ, Butt KM, Laungani G, Shirani K, Hong JH, Adamsons RJ, et al. Evaluation of anterior extravesical ureteroneocystostomy in kidney transplantation. J Urol. 1981;126:306–7.CrossRefPubMed
20.
go back to reference Mitsui Y, Wada K, Araki M, Yoshioka T, Ariyoshi Y, Nishimura S, et al. Ureterolithotripsy for a ureteral calculus at the ureteroureterostomy of a renal-transplant recipient. Acta Med Okayama. 2017;71:449–52.PubMed Mitsui Y, Wada K, Araki M, Yoshioka T, Ariyoshi Y, Nishimura S, et al. Ureterolithotripsy for a ureteral calculus at the ureteroureterostomy of a renal-transplant recipient. Acta Med Okayama. 2017;71:449–52.PubMed
21.
go back to reference Sevinc C, Balaban M, Ozkaptan O, Karadeniz T. Flexible ureterorenoscopy and laser lithotripsy for the treatment of allograft kidney lithiasis. Transplant Proc. 2015;47:1766–71.CrossRefPubMed Sevinc C, Balaban M, Ozkaptan O, Karadeniz T. Flexible ureterorenoscopy and laser lithotripsy for the treatment of allograft kidney lithiasis. Transplant Proc. 2015;47:1766–71.CrossRefPubMed
22.
go back to reference Basiri A, Simforoosh N, Nikoobakht M, Hosseini Moghaddam MM. The role of ureteroscopy in the treatment of renal transplantation complications. Urol J. 2004;1:27–31.PubMed Basiri A, Simforoosh N, Nikoobakht M, Hosseini Moghaddam MM. The role of ureteroscopy in the treatment of renal transplantation complications. Urol J. 2004;1:27–31.PubMed
Metadata
Title
Retrograde ureteric stent insertion from percutaneous suprapubic access to the bladder in renal transplant recipients with ureteric stenosis: a novel minimally invasive technique
Authors
Jian-Hui Wu
Chun-Bai Mo
Li Dong-Zhai
Fei Luo
Qing-Tong Ma
Shi-Qiang Yang
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Urology / Issue 1/2020
Electronic ISSN: 1471-2490
DOI
https://doi.org/10.1186/s12894-020-00748-6

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