Korean J Urol.  2008 Jun;49(6):566-569.

A Patient with Hinman's Syndrome who Underwent Renal Transplantation Using a Pre-existing Cutaneous Ureterostomy

  • 1Department of Urology, College of Medicine, Daegu Catholic University, Daegu, Korea jspark@cu.ac.kr
  • 2Department of General Surgery, College of Medicine, Daegu Catholic University, Daegu, Korea.
  • 3Department of Internal Medicine, College of Medicine, Daegu Catholic University, Daegu, Korea.


It is known that many renal transplantation candidates with end stage renal disease have bladder dysfunction. Before 1966, these patients were considered poor candidates for renal transplantation because of their many bladder problems. But it has recently been reported that renal transplantation with an ileal conduit could solve these problems. Herein, we report on a patient with Hinman's syndrome and this patient underwent renal transplantation using a pre-existing cutaneous ureterostomy.


Hinman's syndrome; Renal transplantation; Cutaneous ureterostomy

MeSH Terms

Kidney Failure, Chronic
Kidney Transplantation
Urinary Bladder
Urinary Diversion


  • Fig. 1. Urodynamic study (UDS) shows staccato voiding with detrusor hypereflexia and detrusor-sphincter dyssynergia.

  • Fig. 2. The pre-kidney transplantation (Pre-KT) cystogram shows a 180cc bladder capacity and an improved bladder shape compared with the previous voiding cystourethrogram (VCUG).

  • Fig. 3. Cutaneous retrograde ureterography. (A) Before transplantation: Cutaneous ureterostomy with transureteroureterostomy in the right lower abdomen. (B) After transplantation: the transplanted ureter was connected to the native left ureter, which drains well into the cutaneous ureterostomy.

  • Fig. 4. (A) Kidney ultrasonography: 9 weeks after kidney transplantation (KT), the graft kidney shows normal findings without hydronephrosis. (B) Color doppler kidney ultrasonography (USG): the graft kidney show normal blood flow.


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