Open Vesicocalicostomy for the Management of Transplant Ureteral Stricture

Authors

Margaret M. Higgins, University of KentuckyFollow
Jonathan P. Walker, University of KentuckyFollow
Michael F. Daily, University of KentuckyFollow
Shubham Gupta, University of KentuckyFollow

Abstract

A 59-year-old male developed a proximal stricture of his transplant ureter ten years after a living donor renal transplant. Endoscopic management was unsuccessful, and the patient was temporized with percutaneous nephrostomy tubes for months. Eventually, it became clear he would require surgical revision. Intraoperatively, complete fibrosis of the renal hilum, and intrarenal location of the pelvis precluded the planned pyelovesicostomy. A successful open vesicocalicostomy was performed, anastomosing a bladder flap to a lower pole calix. The patient remains recurrence free after 6 months of follow-up.

Document Type

Article

Publication Date

7-2017

Notes/Citation Information

Published in Urology Case Reports, v. 13, p. 74-76.

© 2017 The Authors. Published by Elsevier Inc.

This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

Digital Object Identifier (DOI)

https://doi.org/10.1016/j.eucr.2017.03.028

Repository Citation

Higgins, Margaret M.; Walker, Jonathan P.; Daily, Michael F.; and Gupta, Shubham, "Open Vesicocalicostomy for the Management of Transplant Ureteral Stricture" (2017). Urology Faculty Publications. 8.
https://uknowledge.uky.edu/urology_facpub/8