Percutaneous treatment of urine leaks in renal transplantation patients

The data on post-renal transplantation urine leaks in 23 patients were retrospectively reviewed to assess the role of percutaneous urine-diverting procedures in their treatment. The leaks were confirmed by means of antegrade pyelography, and either a nephrostomy catheter or a nephroureteral stent wa...

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Bibliographic Details
Published inRadiology Vol. 174; no. 3 Pt 2; p. 1049
Main Authors Matalon, T A, Thompson, M J, Patel, S K, Ramos, M V, Jensik, S C, Merkel, F K
Format Journal Article
LanguageEnglish
Published United States 01.03.1990
Subjects
Adult
Aged
Female
Humans
Kidney - diagnostic imaging
Kidney - physiopathology
Kidney - surgery
Kidney Transplantation - adverse effects
Male
Middle Aged
Nephrostomy, Percutaneous
Radiography
Retrospective Studies
Stents
Ureter - surgery
Urine
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Summary:The data on post-renal transplantation urine leaks in 23 patients were retrospectively reviewed to assess the role of percutaneous urine-diverting procedures in their treatment. The leaks were confirmed by means of antegrade pyelography, and either a nephrostomy catheter or a nephroureteral stent was placed. Nephrostography was performed frequently to evaluate leak closure. Urinary diversion was continued for an average of 68 days. Leak closure was documented in 20 of 23 (87%) cases. In four patients, concomitant infection or multiorgan failure precluded adequate therapy. One patient developed a ureteral stricture after the urine-diverting procedure and required surgical correction. The results suggest that percutaneous urine-diverting procedures are a definitive treatment for post-renal transplantation urine leaks.
ISSN:0033-8419
DOI:10.1148/radiology.174.3.174-3-1049