Clinical Case Database / Category: Patient Management

Ureteric complications after renal transplant

Publication details

Edward Brown, Usman Khalid, Rafael Chavez
Foundation Years Journal, volume 9, issue 7, p.58 (123Doc Education, London, July 2015)


Kidney transplant is the best available treatment option for most patients with end-stage renal failure. Although relatively uncommon, complications affecting the ureter of the transplant kidney can cause significant morbidity. Here we discuss two cases that illustrate typical ureteric complications associated with renal transplantation.

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Edward Brown (Corresponding author)

University Hospital of Wales
Heath Park, Cardiff, CF14 4XW

Usman Khalid

University Hospital of Wales
Heath Park, Cardiff, CF14 4XW

Rafael Chavez

University Hospital of Wales
Heath Park, Cardiff, CF14 4XW


1. Wilson CH, Rix DA, Manas DM. Routine intraoperative ureteric stenting for kidney transplant recipients. Cochrane Database Syst Rev. 2013, 17:6
2. Kachrilas S, Bourdoumis A, Karaolides T, Nikitopoulou S, Papadopoulos G, Buchholz N, Masood J. Current status of minimally invasive endoscopic management of ureteric strictures. Ther Adv Urol. 2013, 5(6):354-65.
3. Kristo B, Phelan M, Gritsch H, Schulam P. (2003) Treatment of renal transplant ureterovesical anastomotic strictures using antegrade balloon dilation with or without holmium:YAG laser endoureterotomy. Urology 2003, 62: 831–834
4. Tahir W, Hakeem A, White A, Irving HC, Lloyd SN, Ahmad N. Extra-anatomic stent (EAS) as a salvage procedure for transplant ureteric stricture. Am J Transplant 2014, 14(8):1927-30.
5. Pike TW, Pandanaboyana S, Hope-Johnson T, Hostert L, Ahmad N. Ureteric reconstruction for the management of transplant ureteric stricture: a decade of experience from a single centre. Transpl Int. 2015, 28(5):529-34.
6. Berli JU, Montgomery JR, Segev DL et al. Surgical management of early and late ureteral complications after renal transplantation: techniques and outcomes. Clin Transplant 2015, 29(1):26-33.


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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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