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Indonesian Journal of Urology
By Gladwyn Ayudia Husain, Besut Daryanto and Pradana Nurhadi.
Kidney transplantation may encounter challenges from medical or surgical complications. Iatrogenic injuries are responsible for more than half of ureteral stricture cases, which are a rare (0.6% to 12.5%) yet complex challenge in the realm of urology surgery.
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In this report, we presented a case stricture ureteral resulting from iatrogenic trauma in the context of kidney transplantation that was treated using pyelo-native-ureteral anastomosis. Case(s) presentation: A 33-year-old woman post-kidney transplant with iatrogenic ureteral trauma and developed recurrent urinary tract infections (UTI), Retrograde Pyelogram (RPG) was performed showing a partial stricture of proximal and distal right ureteral. Pyelo-to-Native Ureteral Anastomosis was performed to overcome the complication. After 35 days, kidney function was improved, USG and RPG for the improvement of hydronephrosis.
Pyelo-to-native ureteral anastomosis is a feasible treatment option for complex post-transplant ureteral strictures, particularly when endourological approaches are unsuccessful.
Pyelo-to-native ureteral anastomosis can be an alternative treatment for stricture following kidney transplantation. Keywords: Kidney transplant, ureteral stricture, pyelo-to-native ureteral anastomoses.
Published in Indonesian Journal of Urology. The abstract is shown as published and remains the work of its authors; read the full article at the source.
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