4.1 Review

Update on the Management of Urological Problems Following Kidney Transplantation

Journal

UROLOGIA INTERNATIONALIS
Volume 105, Issue 7-8, Pages 541-547

Publisher

KARGER
DOI: 10.1159/000512885

Keywords

Kidney transplantation; Vesicoureteral reflex; Urological complications; Allograft lithiasis; Benign prostatic hyperplasia

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Urological problems in kidney transplant recipients extend beyond postoperative complications, impacting graft survival. The transplant team must be prepared for both foreseeable and unforeseeable urological issues. Advances in endourologic interventions have significantly improved the management of these complications.
Urological problems in kidney transplant recipients are not limited only to posttransplantation urological complications. These problems are a cause of significant patient mortality and morbidity that have wide-ranging effects on graft survival throughout the entire life of the graft. Ultimately, the transplant comprises a major portion of the urinary system; therefore, the transplant team should be prepared for foreseeable and unforeseeable urological problems in the short and long terms. These mainly include postoperative urological complications (urine leakage, ureteral stenosis, and vesicoureteral reflux), bladder outlet obstruction, and graft urolithiasis. In recent years, significant advances have been made in the management of urological complications, especially due to advances in endourologic interventions. The aim of this review is to summarize the management of urological problems after kidney transplantation in the context of the current literature.

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