Kidney auto-transplantation due to upper and middle ureter defect after ureteroscopy injury
Abstract
Introduction. Surgery complications during and after ureteroscopic procedures are rare, mostly temporary and require no special additional procedures. However, major complications, nevertheless their small incidence (less than 1–2%), can be very serious and they include ureter perforation and avulsion. Case report. We represented a patient with complicated ureter iatrogenic stenosis developed after ureteroscopic procedure of stone removal. After several hospitalizations, septic condition with retroperitoneal abscess and an attempt of endoscopic and open surgical solution, the kidney auto-transplantation was successfully done. Conclusion. There are a small number of complications with ureteroscopic procedures, but when ureter avulsion or perforation occurs, and when the mission is to preserve pair organs, kidney auto-transplantation has the advantage over other methods of ureter reconstruction.
References
Biester R, Gillenwater JY. Complications following ureteroscopy. J Urol 1986; 136(2): 380−2.
Geavlete P, Georgescu D, Niţă G, Mirciulescu V, Cauni V. Compli-cations of 2735 retrograde semirigid ureteroscopy procedures: A single-center experience. J. Endourol 2006; 20(3): 179−85.
Johnson BD, Pearle MS. Complications of ureteroscopy. Urol Clin North Am 2004; 31(1): 157−71.
Gupta V, Sadasukhi TC, Sharma KK, Yadav RG, Mathur R, Tomar V, et al. Complete Ureteral Avulsion. Sci World J 2005; 5: 125−7.
Alapont JM, Broseta E, Oliver F, Pontones JL, Boronat F, Jimenez-Cruz JF. Ureteral avulsion as a complication of ureteroscopy. Int Braz J Urol 2003; 29(1): 18−23.
Hafez KS, Wolf SJ. Update on minimally invasive management of ureteral strictures. J Endourol 2003; 17(7): 453−64.
Ahmed S, El-Abda SA, Sulimana GM, Abo Farhaa OM, Ramadana RA, El-Tatawya HH, et al. The development of ureteric strictures after ureteroscopic treatment for ureteric calculi: A long-term study at two academic centres. Arab J Urol 2014; 12(2): 168−72.
Burks FN, Santucci RA. Management of iatrogenic ureteral in-jury. Ther Adv Urol 2014; 6(3): 115−24.
Chew BH, Duvdevani M, Denstedt JD. New developments in ure-teral stent design, materials and coatings. Expert Rev Med De-vices 2006; 3(3): 395−403.
Benson MC, Ring KS, Olsson CA. Ureteral reconstruction and by-pass: Experience with ileal interposition, the Boari flap-psoas hitch and renal autotransplantation. J Urol 1990; 143(1): 20−3.
Milović N, Janjić P, Bancević V, Kupresanin S. Uretero-transappendix-cystoneostomy as a technique for the recon-struction of the lower part of the ureter. Vojnosanit Pregl 2005; 62(12): 932−3. (Serbian)
Clavien PA, Barkun J, de Oliveira ML, Vauthey JN, Dindo D, Schu-lick RD, et al. The Clavien-Dindo classification of surgical complications: Five-year experience. Ann Surg 2009; 250(2): 187−96.
Gregoir W. The surgical treatment of congenital vesico-ureteral reflux. Acta Chir Belg 1964; 63: 431−9. (French)
Hardy JD, Eraslan S. Autotransplantation of the kidney for high ureteral injury. J Urol 1963; 90: 563−74.
Wotkowicz C, Libertino JA. Renal autotransplantation. BJU Int 2004; 93(3): 253−7.
Tiselius HG, Ackermann D, Alken P, Buck C, Conort P, Gallucci M. Guidelines on urolithiasis. Eur Urol 2001; 40(4): 362−71.
Matlaga BR, Jansen JP, Meckley LM, Byrne TW, Lingeman JE. Treatment of ureteral and renal stones: A systematic review and meta-analysis of randomized, controlled trials. J Urol 2012; 188(1): 130−7.
Schoenthaler M, Buchholz N, Farin E, Ather H, Bach C, Bach T, et al. The Post-Ureteroscopic Lesion Scale (PULS): A multicenter video-based evaluation of inter-rater reliability. World J Urol 2014; 32(4): 1033−40.
Knight RB, Hudak SJ, Morey AF. Strategies for open reconstruc-tion of upper ureteral strictures. Urol Clin North Am 2013; 40(3): 351−61.
Milović N, Bancević V, Teodorović G. Ureterorenoscopy laser li-thotripsy treatment of sones impacted in the left ureter 10 years after right kidney autotransplantation. Vojnosanit Pregl 2014; 71(10): 972−4.
Chung BI, Hamawy KJ, Zinman LN, Libertino JA. The use of bo-wel for ureteral replacement for complex ureteral reconstruc-tion: Long-term results. J Urol 2006; 175(1): 179−83.
Soto JS, Phillips M, Cernigliaro J, Haley W. Renal Autotransplan-tation for Iatrogenic High-Grade Ureteric Stricture. Case Rep Urol 2012; 2012: 259527.
Wotkowicz C, Libertino JA. Renal autotransplantation. BJU Int 2004; 93(3): 253−7.
Webster J, Lemoine J, Seigne J, Lockhart J, Bowers V. Renal auto-transplantation for managing a short upper ureter or after ex vivo complex renovascular reconstruction. BJU Int 2005; 96(6): 871−4.
Lutter I, Molcan T, Pechan J, Daniel J, Wagenhoffer R, Weibl P. Renal autotransplantation in irreversible ureteral injury. Bratisl Lek Listy 2002; 103(11): 437−9.
Meng MV, Freise CE, Stoller ML. Expanded experience with la-paroscopic nephrectomy and autotransplantation for severe ureteral injury. J Urol 2003; 169(4): 1363−7.
Marshall VF, Whitsell J, McGovern JH, Miscall BG. The practicality of renal autotransplantation in humans. JAMA 1966; 196(13): 1154−6.
Flechner SM, Noble M, Tiong HY, Coffman KL, Wee A. Renal au-totransplantation and modified pyelovesicostomy for intracta-ble metabolic stone disease. JUrol 2011; 186(5): 1910−5.