Stented Ureteroureterostomy during a Living Donor Renal Transplantation in a Patient with Long-term Defunctionalized, Contracted Bladder: A Case Report.
- Author:
Hyung Joon AHN
1
;
Yu Seun KIM
;
Koon Ho RHA
;
Jang Hwan KIM
Author Information
1. Department of Transplantation Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. yukim@yumc.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Contracted bladder;
Kidney transplantation
- MeSH:
Dilatation;
Humans;
Incidence;
Kidney Transplantation*;
Living Donors*;
Stents*;
Transplantation;
Ureter;
Urinary Bladder*;
Urodynamics
- From:The Journal of the Korean Society for Transplantation
2006;20(1):104-106
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Urinary reconstruction in a renal transplant recipient with a small contracted, long-term defunctionalized urinary bladder has been a major technical challenge because of high incidence of postoperative ureteral reflux, obstruction and urinary leakage. Several techniques (such as pre-operative augmentation cystoplasty, hydrostatic bladder dilatation, or urinary diversion) have been introduced to combat difficulties in these transplant recipients. However, these procedures were too complex or much complicated to reproduce good outcome. Herein, we report a case of successful stented ureteroureterostomy for urinary reconstruction in a recipient having a severely contracted bladder of less than 30 cc of capacity. Furthermore, postoperative cystographic and urodynamic evidence of successful restoration of bladder function is addressed.
