Endoscopic management of ureterovesical anastomosis obstruction in transplanted kidney
- VernacularTitle:移植肾输尿管膀胱吻合口梗阻的腔内手术处理
- Author:
Guohua ZENG
;
Xun LI
;
Ming LEI
- Publication Type:Journal Article
- Keywords:
Ureteral obstruction;
Urologic surgical procedures;
Kidney transplantation;
Drainage
- From:
Chinese Journal of Organ Transplantation
1996;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the feasibility and outcome of minimally invasive percutaneous antegrade and transurethral antigrade ureteroscope technology in treatment of ureterovesical anastomosis obstruction in transplanted kidney.Method Endo-incision, dilation and indwelling internal ureteral stents by minimally invasive percutaneous antegrade and transurethral antigrade ureteroscope tech -nology were performed in 16 transplanted kidney patients with ureterovesical anastomosis obstruction. Renal function was valuated.Results Retrograde ureteroscope balloon dilation and indwelling an internal ureteral stent were carried out in one case. Percutaneous endo-incision, dilation and indwelling internal ureteral stents under ureteroscopy were preformed on 13 patients. Two patients accepted open operation because the length of the obstruction segment was more than one cm. After a follow-up of 1-24 months, internal drainage and renal function were normal in 13 patients. Serum creatinine ranged from 45 ?mol/L to 113 ?mol /L. The renal function of 3 patients didn’t recover completely and the serum creatinine was 158-315 ?mol /L.Conclusion Minimally invasive percutaneous antegrade and transurethral antigrade ureteroscope technology in treatment of ureterovesical anastomosis obstruction in transplanted kidney were relatively effective, and safe and simple to manipulate.
