Abstract
Summary In 130 consecutive patients treated by renal transplantation in the years 1961 to 1972 there were 9 patients who developed a vesical fistula, 4 developed a ureteric fistula and 3 a calyceal fistula (1 patient had both a ureteric and calyceal fistula). Continuous bladder drainage by an indwelling urethral catheter is recommended for the treatment of a vesical fistula. The treatment of a ureteric fistula may be difficult and a temporary uretero-ileostomy may be of value. Provided that distal obstruction is excluded, omentopexy is valuable for treating a calyceal fistula. Immunosuppressive drug therapy may have to be withdrawn but this is not always followed by rejection of the transplanted kidney.
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