Urological complications after kidney transplantation

被引：13

作者：

Burmeister D. ^{[1
,3
]}

Noster M. ^{[1
]}

Kram W. ^{[1
]}

Kundt G. ^{[2
]}

Seiter H. ^{[1
]}

机构：

[1] Urologische Klinik und Poliklinik, Universität, Rostock

[2] Institut für Medizinische Informatik und Biometrie, Universität, Rostock

[3] Urologische Klinik und Poliklinik, Universität, 18055 Rostock

来源：

Der Urologe | 2006年 / 45卷 / 1期

关键词：

Kidney transplantation; Ureteral obstruction; Ureteroneocystostomy; Urinary leakage; Urological complications;

D O I：

10.1007/s00120-005-0960-z

中图分类号：

学科分类号：

摘要：

Between August 1981 and May 2005, 1065 consecutive kidney transplants were performed at our center; 393 patients (36.9%) developed urological complications in the first 60 postoperative days. Urinary tract infections occurred in 28.5% of all patients. The major urological problems seen were urinary leakage and ureteral obstruction in 6.2% and 1.4% of the patients. Two grafts were lost due to severe urinary leakage. No patient death occurred due to urological complications. The incidence of urological complications is mainly influenced by the surgical procedure of organ retrieval and ureteroneocystostomy. With double-J stenting of the extravesical ureteroneocystostomy, we observed a significantly lower rate of urinary leakage but a higher rate of urinary tract infections in our series. Early diagnosis and treatment of urological complications may prevent further morbidity of our transplant patients. © Springer Medizin Verlag 2005.

引用

页码：25 / 31

页数：6