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Urinary Fistulae after Renal Transplantation 1
Author(s) -
O'DONOGHUE E. P. N.,
CHISHOLM G. D.,
SHACKMAN R.
Publication year - 1973
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1973.tb00041.x
Subject(s) - medicine , fistula , urinary fistula , surgery , catheter , urinary system , kidney transplantation , transplantation , urology
Summary In 130 consecutive patients treated by renal transplantation in the years 1961 to 1972 there were 9 patients who developed a vesical fistula, 4 developed a ureteric fistula and 3 a calyceal fistula (1 patient had both a ureteric and calyceal fistula). Continuous bladder drainage by an indwelling urethral catheter is recommended for the treatment of a vesical fistula. The treatment of a ureteric fistula may be difficult and a temporary uretero‐ileostomy may be of value. Provided that distal obstruction is excluded, omentopexy is valuable for treating a calyceal fistula. Immunosuppressive drug therapy may have to be withdrawn but this is not always followed by rejection of the transplanted kidney.