Premium
Post‐renal transplant ureterocutaneous fistula: Management of complications and literature review
Author(s) -
Lam Wilson WingChung,
Chan TszYeung,
Cheng CheungHing,
Lee YueKit,
Chau Lysander Hin,
Man ChiWai,
Chu SauKwan
Publication year - 2019
Publication title -
surgical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.109
H-Index - 10
eISSN - 1744-1633
pISSN - 1744-1625
DOI - 10.1111/1744-1633.12363
Subject(s) - medicine , complication , surgery , fistula , stent , renal transplant , incidence (geometry) , transplantation , kidney transplantation , physics , optics
Ureterocutaneous fistula is a major complication following renal transplantation. Timely management can minimise patient and graft comorbidities. We reported three cases of post‐renal transplant ureterocutaneous fistula. Two of them were successfully repaired with Boari flap and one of them were repaired with ileal interposition. Literature review revealed that double‐J stent insertion during renal transplant can significantly reduce post‐transplant major ureteric complications (MUC). Evidence did not show any difference in MUC between early removal of stent (≤14 days) and late removal (>14 days). Yet incidence of UTI could be reduced in early stent removal.