Urologic Complications of Renal Transplantation

Bang, Jin Sung; Lim, Soo Kil

Abstract

A clinical observation was made on 74 cases of the renal transplantation in the Department of Urology, Catholic Medical College from March 1969 to February 1980. The following results were obtained. 1. Of 74 cases of the recipient 67 cases were male and 7 cases female, 3 decade was most common among them 2. The ureteroneocystostomy was performed as the method of the modified Politano-Leedbetter in 66 cases and extravesical Macliinnon in 8 cases. Our incidence of urological complications in the 74 renal transplants was 13.5% (10 cases). 3. The details of the complications were as follows: 1 was bladder leakage, 3 ureteral necrosis, 3 ureteral obstruction. 1 disruption of ureterovesical junction, 1 bleeding from ureterovesical junction and 1 was urine leakage from ureter. 4. Reconstruction of the bladder in the cases of bladder leakage was failed. Among the 9 ureteral complications, we acquired successful secondary 6 ureteroureterostomy and 3 ureteroneocystomy.