Díaz-Castillo LA, Rogel-Rodríguez JF, Noriega-Salas L, Escalona-Delgado MS

Language: Spanish
References: 10
Page: 107-110
PDF size: 489.37 Kb.

ABSTRACT

Introduction: After a kidney transplant, ureteral stenosis is the most common and devastating complication. It is usually cause by ischemia and the most frequent site is the vesicoureteral junction or the distal ureteral segment. The endourological procedures for the treatment of ureteral stenosis are placement of double J stents, ureteral balloon dilatation or the use of self-expanding endoluminal prosthesis. Presentation case: We report the case of a 25 year’s old female with chronic kidney disease secundary to left hypoplasia and right renal agenesis. Deceased donor kidney transplant was performed in another center, six months before admission with intraoperative placement of double J stent. The patient started with fatigue, weakness and decreased urine output until anuria. Cystoscopy was performed, reporting Total neomeatus ureteral stenosis, Nephrostomy stent was placed percutaneously using fluoroscopic control, showing no passage of dye into the bladder and dilation of the renal graft. Ureteral reimplantation with retroperitoneal approach was performed using silastic peritoneal catheter obtaining significant improvement in urinary volume and nitrogenous control. Conclusion: Subcutaneous nephro-vesical bypass is an alternative treatment for ureteral stenosis in postransplant patients.

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