Publication: Urological complications after Kidney transplantation
Date
2010
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Background
Renal transplantation is a regular service at Tribhuvan University Teaching Hospital and
complications have been known to occur after it. This study was conducted to assess
complications after transplantation.
Objectives
To determine the incidence of urological complications after living related renal
transplantation at Tribhuvan University Teaching Hospital.
Methods
A clinical study was performed (from August 2008 to July 2010) which included 50
living-related renal transplantations at Tribhuvan University Teaching Hospital. All the
donors and recipients were evaluated preoperatively with necessary investigations and
followed up postoperatively with standard hospital transplant protocol. The incidence
of urological complications were documented and analyzed.
Results
Fifty living-related, renal transplantations were carried out during the study period.
Seven doors had minor post operative complications; three had post operative fever,
two had chest infections and each one had superficial surgical site infections and
severe pain at incision site. Ureteroneocystostomy was performed with double J stent
in all recipients. Urological complications were noted in 12 (24%) recipients. Clinical
significant hematuria occurred in four cases. One patient had ureteric necrosis and
urinary leak which required re-exploration post operatively. Two patients developed
delayed ureteric stricture which were managed by antegrade Double J stenting and
ureteric reimplantation. Peri-graft abscess occurred in two cases, which were drained
percutaneously. surgical site infections was seen in one case.
Conclusions
Urological complications are inevitable in renal transplantation and our complications
rate appears similar to that reported in literature.
Key words
double J stent, renal transplantation, urological complications
Description
1-12Department of Surgery,
Tribhuvan University Teaching Hospital, Kathmandu, Nepal