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Extra‐Anatomic Stent (EAS) as a Salvage Procedure for Transplant Ureteric Stricture
Author(s) -
Tahir W.,
Hakeem A.,
White A.,
Irving H. C.,
Lloyd S. N.,
Ahmad N.
Publication year - 2014
Publication title -
american journal of transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.89
H-Index - 188
eISSN - 1600-6143
pISSN - 1600-6135
DOI - 10.1111/ajt.12778
Subject(s) - medicine , stent , ureter , surgery , nephrostomy , ureteric stent , percutaneous nephrostomy , complication , urinary diversion , percutaneous , kidney transplantation , urinary system , transplantation , cystectomy , anatomy , bladder cancer , cancer
Ureteric stricture is the most common urological complication following renal transplantation. Management often involves endo‐urological interventions and open surgery. The definitive treatment is surgical reconstruction to restore continuity. Where this is not possible or contra‐indicated and a stent cannot be placed in the ureter, an extra‐anatomic stent (EAS) could be used to bypass a complete ureteric obstruction. Using an existing nephrostomy tract, a percutaneous stent is placed in the kidney and is tunneled under the skin into the bladder establishing extra‐anatomical urinary drainage. We report the use of a novel EAS system in a patient with transplant ureteric stricture when antegrade stent placement or surgical reconstruction was not possible.