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CardioVascular and Interventional Radiology

, Volume 27, Issue 4, pp 335–338 | Cite as

Percutaneous Balloon Dilatation for the Treatment of Early and Late Ureteral Strictures After Renal Transplantation: Long-Term Follow-Up

  • Gil N. BacharEmail author
  • E. Mor
  • G. Bartal
  • Eli Atar
  • N. Goldberg
  • A. Belenky
OriginalPaper

Abstract

We report our experience with percutaneous balloon dilatation (PBD) for the treatment of ureteral strictures in patients with renal allografts. Of the 422 consecutive patients after renal transplantation in our center 10 patients had ureteral strictures. An additional 11 patients were referred from other centers. The 21 patients included 15 men and 6 women aged 16 to 67 years. Strictures were confirmed by sonography and scintigraphy in all cases. Patients underwent 2 to 4 PBDs at 7–10-day intervals. Clinical success was defined as resolution of the stenosis and hydronephrosis on sequential ultrasound and normalization of creatinine levels. Patients were divided into two groups: those who underwent transplantation more than 3 months previously and those who underwent transplantation less than 3 months previously. PBD was successful in 13 of the 21 patients (62%). There was no statistically significant difference in success rate between the patients with early (n = 12) and those with late (n = 9) obstruction: 58.4% and 66%, respectively. No major complications were documented. PBD is a safe and simple tool for treating ureteral strictures and procedure-related morbidity is low. It can serve as an initial treatment in patients with early or late ureteral strictures after renal transplantation.

Keywords

Ureteral Obstruction Ureteric Obstruction Ureteral Stricture Urinary Tract Dilatation Dilatation Session 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Yong, AA, Ball, ST, Pelling, MX, Gedroyc, WM, Morgan, RA .Management of ureteral strictures in renal transplants by antegrade balloon dilatation and temporary internal stentingCardiovasc Intervent Radiol22385388AUTHOR: Give publication date of all referencesCrossRefGoogle Scholar
  2. 2.
    Lojanapiwat, B, Mital, D, Fallon, L, Koolpe, H, Raja, R, Badosa, F, Po, C, Morris, M .Management of ureteral stenosis after renal transplantationJ Am Coll Surg1794124Google Scholar
  3. 3.
    Peregrin, J, Filipova, H, Matl, S .Percutaneous treatment of early and late ureteral stenosis after renal transplantationTransplant Proc29140141CrossRefGoogle Scholar
  4. 4.
    Collado, A, Caparros, J, Guirado, L, Rosales, A, Marti, J, Sola, R, Vicente, J .Balloon dilatation in the treatment of ureteral stenosis in kidney transplant recipientsEur Urol34399403CrossRefGoogle Scholar
  5. 5.
    Keller, H, Noldge, G, Wilms, H, Kirste, G .Incidence, diagnosis, and treatment of ureteric stenosis in 1298 renal transplantsTranspl Int7253257Google Scholar
  6. 6.
    Faenza, A, Nardo, B, Catena, F, Scolari, MP, Buscaroli, A, D’Arcangelo, GL .Ureteral stenosis after kidney transplantation: interventional radiology or surgeryTransplant Proc3320452046CrossRefGoogle Scholar
  7. 7.
    Faenza, A, Nardo, B, Catena, F, Scolari, MP, d’Arcangelo, GL, Buscaroli, A, Rossi, C, Zompatori, M .Ureteral stenosis after kidney transplantation; a study on 869 consecutive transplantsTranspl Int12334340CrossRefGoogle Scholar
  8. 8.
    Smith, TP, Hunter, DW, Letourneau, JG, Cragg, AH, Darcy, MD, Castaneda-Zuniga, WR, Amplatz, K .Urinary obstruction in renal transplants: diagnosis by antegrade pyelography and results of percutaneous treatmentAm J Roentgenol151507510Google Scholar
  9. 9.
    Streem, SB, Novick, AC, Steinmuller, DR, Zelch, MG, Risius, B, Geisinger, MA .Long-term efficacy of ureteral dilatation for transplant ureteral stenosisJ Urol1403235Google Scholar
  10. 10.
    Kinnaert, P, Hall, M, Janssen, F, Vereerstraeten, P, Toussaint, C, Van Geertruyden, J .Ureteral stenosis after kidney transplantation: true incidence and long-term follow-up after surgical correctionJ Urol1331720Google Scholar
  11. 11.
    Kashi, SH, Lodge, JPA, Giles, GR, Irving, HC .Ureteric complication of renal transplantationBr J Urol70139143Google Scholar
  12. 12.
    Voegeli, DR, Crummy, AB, McDermott, JC, Jensen, SR .Percutaneous dilatation of ureteral strictures in renal transplant patientsRadiology69185188Google Scholar
  13. 13.
    Fontaine, AB, Nijjar, A, Rangaraj, R .Update of the use of pecutaneous nephrostomy/balloon dilatation for the treatment of renal transplant leak/obstructionJ Vasc Interv Radiol8649653Google Scholar
  14. 14.
    Cantasdemir, M, Kantarci, F, Numan, F, Mihmanli, I, Kalender, B .Renal transplant ureteral stenosis: treatment by self-expending metallic stentCardivasc Intervent Radiol208587Google Scholar
  15. 15.
    Kim, JC, Banner, MP, Ramchandani, P, Grossman, RA, Pollack, HM .Ballon dilatation of ureteral strictures after renal transplantationRadiology186717722Google Scholar

Copyright information

© Springer-Verlag New York, LLC. 2004

Authors and Affiliations

  • Gil N. Bachar
    • 1
    Email author
  • E. Mor
    • 2
  • G. Bartal
    • 3
  • Eli Atar
    • 1
  • N. Goldberg
    • 1
  • A. Belenky
    • 1
  1. 1.Departments of Radiology, Interventional Radiology UnitRabin Medical CenterIsrael
  2. 2.Department of TransplantationRabin Medical CenterIsrael
  3. 3.Department of Radiology, Interventional Radiology UnitHilel-YafeIsrael

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