Copyright
©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Transplantation. Sep 10, 2018; 8(5): 142-149
Published online Sep 10, 2018. doi: 10.5500/wjt.v8.i5.142
Published online Sep 10, 2018. doi: 10.5500/wjt.v8.i5.142
Early urological complications after kidney transplantation: An overview
Jesmar Buttigieg, Renal Division, Mater Dei Hospital, Msida MSD2090, Malta
Jesmar Buttigieg, Ajay Sharma, Ahmed Halawa, Faculty of Health and Science, Institute of Learning and Teaching, University of Liverpool, Liverpool L69 3BX, United Kingdom
Andrei Agius-Anastasi, Department of Medicine, Mater Dei Hospital, Msida MSD2090, Malta
Ajay Sharma, Department of Transplantation, Royal Liverpool University Hospital, Liverpool L7 8XP, United Kingdom
Ahmed Halawa, Department of Transplantation, Sheffield Teaching Hospitals, Sheffield S10 2JF, United Kingdom
Author contributions: All authors equally contributed to this paper with conception and design of the study, literature review and analysis, drafting and critical revision and editing, and final approval of the final version.
Conflict-of-interest statement: No potential conflicts of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Ahmed Halawa, FRCS (Gen Surg), MD, MSc, Surgeon, Consultant Transplant Surgeon, Department of Transplantation, Sheffield Teaching Hospitals, Glossop Rd, Sheffield S10 2JF, United Kingdom. ahmed.halawa@liverpool.ac.uk
Telephone: +44-114-2269696
Received: June 16, 2018
Peer-review started: June 16, 2018
First decision: July 8, 2018
Revised: July 21, 2018
Accepted: August 6, 2018
Article in press: August 6, 2018
Published online: September 10, 2018
Peer-review started: June 16, 2018
First decision: July 8, 2018
Revised: July 21, 2018
Accepted: August 6, 2018
Article in press: August 6, 2018
Published online: September 10, 2018
Core Tip
Core tip: Urological complications, especially urine leaks, remain the most common type of surgical complication following kidney transplantation. Preservation of the peri-ureteric tissue during kidney retrieval, Lich-Gregoir ureteroneocystostomy technique and routine prophylactic ureteral stenting has been shown to decrease the incidence of these complications. Routine post-operative allograft ultrasound is important for their early detection. The majority of recipients can be effectively managed percutaneously, avoiding the morbidity associated with open surgery. The prognosis is generally excellent if recognized and treated successfully in a timely manner.