Percutaneous management of stones in transplanted kidneys.

Percutaneous management of stones in transplanted kidneys. Research Abstract Details 

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Percutaneous management of stones in transplanted kidneys. Abstract Text:

OBJECTIVES: Stone disease is a rare complication after renal transplantation, and the management of these stones can be difficult. In many cases, the best modality to treat stones in transplanted kidneys/ureters is with a percutaneous approach. The goal of this study was to review our series of percutaneous nephrolithotomy (PNL) to evaluate the success rates and present the key technical points to achieve a successful outcome. METHODS: We retrospectively reviewed our series of PNL from January 1997 to December 2007 and identified 15 patients who had had PNL performed in a transplanted kidney. We evaluated multiple perioperative variables and how the patients' urolithiasis presented. We also collected intraoperative data. RESULTS: A total of 15 patients underwent successful PNL in a transplanted kidney. In all patients, but 3, access into an anterior, upper pole calix was achieved, and access was obtained with ultrasound guidance alone or a combination of ultrasound guidance and fluoroscopy. Ten patients had a pre-existing nephrostomy tube, and this was used in all but 1 patient. Of the 15 patients, 8 (53%) were treated with percutaneous flexible nephroscopy/ureteroscopy, and 7 had tracts dilated to 30F to perform rigid PNL. All patients were rendered stone free at the end of the procedure, no complications developed, and no patient required a blood transfusion. CONCLUSIONS: Nephrolithiasis in a transplanted kidney can be challenging to diagnose and to treat. PNL is most often the best modality to render patients stone free.

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Percutaneous management of stones in transplanted kidneys. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Urology

VOLUME: 72

Page Numbers: 508-12

Journal Abbreviation: Urology

ISSN: 1527-9995

DAY: 23

MONTH: 07

YEAR: 2008

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LANGUAGE: eng

NlmUniqueID: 366151

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AFFILIATION: Department of Urology, University of California, San Francisco, School of Medicine, San Francisco, California.

Country: United States

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MEDLINETA: Urology

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