The Ureter in the Kidney Transplant Setting: Ureteroneocystostomy Surgical Options, Double-J Stent Considerations and Management of Related Complications
| Autor: | Nasrin El-Bandar, Hannes Cash, Sarah Weinberger, Nadine Biernath, Henning Plage, Frank Friedersdorff |
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| Rok vydání: | 2020 |
| Předmět: |
Nephrology
medicine.medical_specialty Urology medicine.medical_treatment 030232 urology & nephrology MEDLINE Lumen (anatomy) Constriction Pathologic Urinary Diversion 030230 surgery Kidney transplant DJ-stent Kidney transplantation 03 medical and health sciences 0302 clinical medicine Ureter Internal medicine medicine Humans Ureteral complications urogenital system business.industry Anastomosis Surgical Ureteroneocystostomy Stent General Medicine medicine.disease Surgery surgical procedures operative medicine.anatomical_structure Stents Ureteral Stricture business Allium-stent 600 Technik Medizin angewandte Wissenschaften::610 Medizin und Gesundheit::610 Medizin und Gesundheit Ureteral Obstruction |
| Zdroj: | Current Urology Reports. 21 |
| ISSN: | 1534-6285 1527-2737 |
| DOI: | 10.1007/s11934-020-0956-7 |
| Popis: | Purpose of Review In the setting of kidney transplantation, the ureter is a common source for complications. As a result, prevention of ureteral complications and their management is of crucial importance. In this context, the purpose of this review is to summarize recent literature on the ureter in the kidney transplant setting with a special focus on new findings. We conducted a PubMed and Medline search over the last 10 years to identify all new publications related to ureteroneoimplantations, stents and management of complications in the kidney transplant setting. Recent Findings Performance of the “Lich-Gregoir” technique for ureteroneocystostomy seems to be favourable in regard to postoperative complications when compared with other methods described in the literature. Moreover, major urologic complications can be further reduced by ureteral stenting. Summary A new approach for management of ureteral strictures in renal transplants is presented. We discussed the usage of a ureteral stent covered with a biostable polymer aiming to prevent tissue ingrowth into the lumen as a new option for management of ureteral stricture in the kidney transplant setting. |
| Databáze: | OpenAIRE |
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