J Korean Soc Transplant.  2006 Jun;20(1):104-106.

Stented Ureteroureterostomy during a Living Donor Renal Transplantation in a Patient with Long-term Defunctionalized, Contracted Bladder: A Case Report

Affiliations
  • 1Department of Transplantation Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. yukim@yumc.yonsei.ac.kr
  • 2Department of Uroglogy, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.

Abstract

Urinary reconstruction in a renal transplant recipient with a small contracted, long-term defunctionalized urinary bladder has been a major technical challenge because of high incidence of postoperative ureteral reflux, obstruction and urinary leakage. Several techniques (such as pre-operative augmentation cystoplasty, hydrostatic bladder dilatation, or urinary diversion) have been introduced to combat difficulties in these transplant recipients. However, these procedures were too complex or much complicated to reproduce good outcome. Herein, we report a case of successful stented ureteroureterostomy for urinary reconstruction in a recipient having a severely contracted bladder of less than 30 cc of capacity. Furthermore, postoperative cystographic and urodynamic evidence of successful restoration of bladder function is addressed.

Keyword

Contracted bladder; Kidney transplantation
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