Abstract
Ureteric Stricture following Pediatric Dual En-Bloc Renal Transplantation
Highlights
Ureteric stenosis is the most common non-immunological complication following renal transplantation, affecting 0.5-6% of patients [1]
Ureteric reconstruction would expose the patient to unacceptable risk of losing both grafts, due to the close proximity of the ureters
A meta-analysis [5] examining seven randomized control trials found that major urological complications were reduced by universal prophylactic ureteric stenting following renal transplantation (RR 0.24, 95% CI 0.07-0.77, p = 0.02)
Summary
Ureteric stenosis is the most common non-immunological complication following renal transplantation, affecting 0.5-6% of patients [1]. This is a case report examining a urine leak and ureteric stricture following pediatric dual en-bloc renal transplantation. Ureteric reconstruction would expose the patient to unacceptable risk of losing both grafts, due to the close proximity of the ureters. A transplant nephrectomy of the obstructed graft was undertaken.
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