PD30-06 STONE DISEASE IN THE KIDNEY TRANSPLANT : A FRENCH MULTICENTER RETROSPECTIVE STUDY OF 95 PATIENTS

Abstract

You have accessJournal of UrologyTransplantation & Vascular Surgery I1 Apr 2014PD30-06 STONE DISEASE IN THE KIDNEY TRANSPLANT : A FRENCH MULTICENTER RETROSPECTIVE STUDY OF 95 PATIENTS Julien Branchereau, Marc Olivier Timsit, Yann Neuzillet, Thomas Bessède, Marc Gigante, Xavier Tillou, Thuret Rodolphe, Ricardo Codas, Jean Michel Boutin, Arnaud Doerfler, Federico Sallusto, Thibault Culty, Véronique Delaporte, Nicolas Brichart, Simon Vanagt, Sebastien Michaud, Julie Rode, Claire Billault, Benoît Barrou, Laurent Salomon, Georges Karam, Lionel Badet, and Francois Kleiclauss Julien BranchereauJulien Branchereau More articles by this author , Marc Olivier TimsitMarc Olivier Timsit More articles by this author , Yann NeuzilletYann Neuzillet More articles by this author , Thomas BessèdeThomas Bessède More articles by this author , Marc GiganteMarc Gigante More articles by this author , Xavier TillouXavier Tillou More articles by this author , Thuret RodolpheThuret Rodolphe More articles by this author , Ricardo CodasRicardo Codas More articles by this author , Jean Michel BoutinJean Michel Boutin More articles by this author , Arnaud DoerflerArnaud Doerfler More articles by this author , Federico SallustoFederico Sallusto More articles by this author , Thibault CultyThibault Culty More articles by this author , Véronique DelaporteVéronique Delaporte More articles by this author , Nicolas BrichartNicolas Brichart More articles by this author , Simon VanagtSimon Vanagt More articles by this author , Sebastien MichaudSebastien Michaud More articles by this author , Julie RodeJulie Rode More articles by this author , Claire BillaultClaire Billault More articles by this author , Benoît BarrouBenoît Barrou More articles by this author , Laurent SalomonLaurent Salomon More articles by this author , Georges KaramGeorges Karam More articles by this author , Lionel BadetLionel Badet More articles by this author , and Francois KleiclaussFrancois Kleiclauss More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.2129AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Stone disease in the kidney transplant patient is rare (less than 1%), its managment is not clearly codified. The objective of this study was to analyze the therapeutic management of renal calculi in transplant patients. METHODS This retrospective multicenter study was done by the Transplantation Committee of the French Association of Urology (CTAFU). Survey for data collection have been distributed to all members of CTAFU. Statistical analysis was performed using the IBM software SPSS.19. RESULTS 95 patients were included in this study. The discovery of the calculi of the transplant was incidental in 55 % of cases, mainly during an ultrasound control. Symptomatic stones were discovered by an urinary tract infection or by an acute renal failure. The location of the stones was intra-renal (54%) and ureteral (46%) with a majority of landlocked stones at the ureterovesical anastomosis . 10% of patients had a previous uropathy and 18% had metabolic abnormality known prior to transplantation . Hyperparathyroidism (mostly secondary) was known at diagnosis in 33% of transplant patients and 4 % of patients presented calcium deposits on a previous transplant biopsy. 22 % of stones occurred after a post- operative complication: 8% hematoma around the kidney, 12 % stenosis of ureterovesical anastomosis, and 2% of transplant pyelonephritis . The initial management was an endo ureteral stent (27%), a nephrostomy tube (21%), or simple watchful waiting (52%). Final managment charge was: monitoring watchful waiting (44%), extracorporeal lithotripsy (14%), rigid or flexible ureteroscopy (28%) or percutaneous nephrolithotomy ( 12%) and surgical pyelotomy ( 2%). All kidneys transplant stayed functional. CONCLUSIONS Transplant patients are potentially at greater risk of stone due to any anatomical abnormalities (stenosis of ureterovesical junction) and possible metabolic abnormalities (secondary hyperparathyroidism). The therapeutic management of renal transplant stones seems to be comparable to that of native kidneys. © 2014FiguresReferencesRelatedDetails Volume 191Issue 4SApril 2014Page: e776 Advertisement Copyright & Permissions© 2014MetricsAuthor Information Julien Branchereau More articles by this author Marc Olivier Timsit More articles by this author Yann Neuzillet More articles by this author Thomas Bessède More articles by this author Marc Gigante More articles by this author Xavier Tillou More articles by this author Thuret Rodolphe More articles by this author Ricardo Codas More articles by this author Jean Michel Boutin More articles by this author Arnaud Doerfler More articles by this author Federico Sallusto More articles by this author Thibault Culty More articles by this author Véronique Delaporte More articles by this author Nicolas Brichart More articles by this author Simon Vanagt More articles by this author Sebastien Michaud More articles by this author Julie Rode More articles by this author Claire Billault More articles by this author Benoît Barrou More articles by this author Laurent Salomon More articles by this author Georges Karam More articles by this author Lionel Badet More articles by this author Francois Kleiclauss More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...