What is it about?

Urological complications in kidney transplant patients are among serious complications. Endourology has allowed for a less-invasive approach to dealing with these transplant complications. Access to the upper urinary tract in traditionally anterior extravesical ureteroneocystostomy is usually difficult if not impossible.

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Why is it important?

A review looking at urological complications after living related donation reported an overall incidence of 8.3% [1]. Newer, more precise instruments have allowed the application of endoscopic procedures to the transplanted kidney and ureter.


Posterolateral extravesical ureteroneocystostomy technique seemed to be superior, regarding ureteral orifice positioning, ureteral catheterization, and performing endoscopic procedures. Also it is rapid and technically easy to perform. Therefore, we have adopted a more practical technique of ureteroneocystostomy in our renal transplant recipients.

Dr Mohammad Reza Safarinejad
University of Medical Sceices

Read the Original

This page is a summary of: Modified ureteroneocystostomy in kidney transplantation to facilitate endoscopic management of subsequent urological complications, International Urology and Nephrology, September 2009, Springer Science + Business Media,
DOI: 10.1007/s11255-009-9637-7.
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