We report the use of a metallic stent in a
transplant ureteral stenosis. A 28-year-old man with chronic renal
failure due to chronic pyelonephritis, who received a living-donor
renal transplant, presented with transplant ureteral stenosis. The
stenosis was unresponsive to balloon dilation and was treated by
antegrade placement of a self-expanding Memotherm stent. The stented
ureter stayed patent for 3 years. It may be reasonable to treat
post-transplant ureteral stenosis resistant to balloon dilation with
self-expanding metallic stents. However, long-term follow-up is
required to evaluate the efficacy of this treatment.