Successful treatment of vesicoureteral reflux by ureteroureterostomy in renal transplant recipients.
- Author:
Min Kyoung PARK
1
;
Eun Ho CHU
;
Soe Hee ANN
;
Bum Soon CHOI
;
Chul Woo YANG
;
Yong Soo KIM
;
Byung Kee BANG
Author Information
1. Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea. yangch@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Kidney transplantation;
Vesicoureteral reflux;
Ureteroureterostomy
- MeSH:
Dimethylpolysiloxanes;
Humans;
Kidney Transplantation;
Pyelonephritis;
Transplants;
Urinary Tract Infections;
Vesico-Ureteral Reflux
- From:Korean Journal of Medicine
2008;74(5):556-560
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Recurrent urinary tract infection due to vesicoureteral reflux is one of the important medical complications in renal transplant recipients. Injection of macroplastique is recommended to reduce the vesicoureteral reflux, but it can result in poor responses. Ureteroureterostomy is an invasive method, but it is advisable in patients with higher grades of vesicoureteral reflux that do not respond to medical or macroplastique injection. We here report on two cases of successful treatment of vesicoureteral reflux by ureteroureterostomy. These patients experienced repeated episodes of acute pyelonephritis in spite of long-term antibiotic treatment and repeated macroplastique injection. No more urinary tract infection was observed after ureteroureterostomy. We recommend ureteroureterostomy in renal transplant recipients who suffer with repeated acute pyelonephritis due to vesicoureteral refulx.
