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Saudi Journal of Kidney Diseases and Transplantation
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ORIGINAL ARTICLE Table of Contents   
Year : 2009  |  Volume : 20  |  Issue : 6  |  Page : 1005-1009
Urological complications of renal transplantation: Reducing the risk

Directorate of Surgery & Renal Services, Plymouth Hospitals NHS Trust, Derriford Hospital, Plymouth PL6 8DH, United Kingdom

Correspondence Address:
Jacob A Akoh
Consultant General and Transplant Surgeon, Level 04 Derriford Hospital Plymouth PL6, 8DH
United Kingdom
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Source of Support: None, Conflict of Interest: None

PMID: 19861861

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Urological complications can have a significant effect on the outcome of renal trans計lantation including the loss of the graft. The aims of this study were to determine the incidence of urological complications occurring after kidney transplantation at our unit, and how the risk of com計lications can be reduced. All 398 renal transplantations performed at Derriford Hospital, Plymouth between August 1997 and December 2006 were reviewed. Twenty nine (7.3%) urological com計lications were noted with a median time to diagnosis of 8.5 days (range 1-950 days) following transplantation; 81% occurring within two weeks. Fourteen (48.3%) of these patients had iden負ifiable risk factors; 10 patients required ureteric reimplantation, 6 had Boari flap reconstruction, and 3 underwent transurethral resection prostatectomy. One graft was lost to severe ureteric nec訃osis. Steps to reduce the risk of complications include avoiding damage to organs during retrieval, meticulous bench preparation including hydrodilating ureters to exclude ureteric injury and vigi衍ance during the transplant procedure. Prompt and appropriate corrective surgery can diminish the effect of urological complications on graft survival.

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