Kidney Transplant Research Today is a free monthly online journal that collates and summarizes the latest research about Kidney Transplant, including details on risks, prognosis, procedure, surgery, organ donation.

Artificial ureters in renal transplantation.

Andonian S, Zorn KC, Paraskevas S, Anidjar M

Division of Urology, Department of Surgery, Royal Victoria Hospital, McGill University Health Centre, Montreal, Quebec, Canada.

Ureteral strictures in transplanted renal units are initially managed by balloon dilation and indwelling stents. When endourologic management fails, ureteroneocystostomy or pyeloureteral anastomosis to the native ureter is the treatment of choice. Nevertheless, such procedures are not always successful. We present what we believe to be the first two North American cases of silicone-polyester artificial ureters (pyelovesical bypass graft) after failed endourologic or open management of ureteral strictures after renal transplantation. After 12 and 15 months of follow-up, the renal function was stable, with no evidence of obstruction. Long-term follow-up is needed to monitor the rate of late encrustation and obstruction.

Published 15 November 2005 in Urology, 66(5): 1109.
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