PTU - Polskie Towarzystwo Urologiczne
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REPARATORY OPERATIONS OF COMPLICATIONS IN URETERO-VESICAL ANASTOMOSIS AFTER RENAL TRANSPLANTATION
Article published in Urologia Polska 1999/52/4.

authors

Józef Matych, Andrzej Święs, Jerzy Żurek, Konrad Pietraszun, Jacek Pietrzykowski, Barbara Krauze, Bohdan Bieniak, Agnieszka Skrzypek, Oskar Pietraszun, Paweł Jałmużna
Oddział Urologii Wojewódzkiego Specjalistycznego Szpitala im. M. Pirogowa w Łodzi
Ordynator Oddziału: dr hab. med. J. Matych

keywords

kidney kidney transplantation ureter stricture ureter necrosis

summary

Aim of work. Two cases of complications after kidney transplantation treated
operatively are presented. Stricture of uretero-vesical anastomosis was
replaced by re-implantation of the ureter into the bladder by Boeminghaus
method. In the second case necrotic fragment of the ureter was replaced by a
flap formed from the bladder wall by Boari method.
Material and methods. Thirty-seven patients after kidney transplantation were
included. Among them in 2 cases there were complications within the
anastomosis between the ureter of the donor and the bladder of the recipient.
In J. P. (case history number 6812/1971) extensive cicatrical lesions in the area
of anastomosis formed, and in patient K. M. the peripheral fragment of the
ureter was necrotic (case history number 6501/1985). Cicatrical fragment of
the ureter was removed and regenerated end if the ureter was re-implanted
into the bladder wall. Similarly, the necrotic fragment of the ureter was removed
and the end of the ureter was anastomosed with the bladder wall, after
reconstruction with a flap from a bladder wall by Boari method. In both cases
internal drainage of the anastomosis by a ?double J" catheter was used.
Results. In both presented cases urinary retention in the pyelocalyceal system
was resolved and the stricture of the uretero-vesical anastomosis in the
transplanted kidney was repaired surgically.

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