• Users Online: 410
  • Print this page
  • Email this page
Year : 2012  |  Volume : 6  |  Issue : 3  |  Page : 73-76

Urological and vascular complications in 720 renal transplantations – Lessons learned

Department of Urology, Army Hospital Research and Referral, New Delhi, India

Correspondence Address:
Y P S. Rana
Flat no. A-9, C C Fire Station, Cannaught Place, New Delhi 110001
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.1016/j.ijt.2012.08.001

Rights and Permissions

Introduction: Kidney transplants have become common surgical procedures, with thousands performed yearly around the world. Surgical complications in renal transplantation result in significant morbidity to the recipient, with risk of graft loss and mortality. Material and methods: We retrospectively analyzed 720 cases of renal transplantation done at our center from 1991 to July 2010. The standard techniques of vascular anastomosis and extravesical stented ureteroneocystostomy were used. Results: Mean age at the time of transplantation was 33 years (range 5–67 years) and majority were male (558/720). Live related donor renal transplantation was performed in 684 and deceased donor kidney transplantation in 36 patients. The incidence of ureter related major complication was urinary leak in seven (0.97%) cases and intrinsic ureteral obstruction in two (0.27%) cases. Vascular complications occurred in nine cases including four cases of venous thrombosis of which two could be salvaged. Four grafts were lost due to arterial thrombosis and one due to arterial anastomotic dehiscence. Conclusion: Routine use of ureteric stent seems to reduce the rate of urinary complications. Meticulous tying of all lymphatics tends to reduce the incidence of obstructing lymphocele. Early diagnosis and prompt surgical treatment of urological and vascular complications helps in salvaging the grafts.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded83    
    Comments [Add]    
    Cited by others 1    

Recommend this journal