TY - JOUR ID - TI - Postoperative Urological Complications of Renal Transplantation; Al Karama Hospital Experience AU - Yousuf M. Alhallaq AU - Shawqi Ghazala AU - Mohammad Batal AU - Ausama Saadi Abdul Muhsin PY - 2009 VL - 8 IS - 4 SP - 384 EP - 486 JO - Iraqi Postgraduate Medical Journal المجلة العراقية للاختصاصات الطبية SN - 83601608 98932708 AB - ABSTRACT:BACKGROUND:Studying early post kidney transplant urological complication will provide a feed back evaluation for the surgical technique used and the way of complication management.OBJECTIVES:To study the postoperative urological complications and their management in the first 6 months following renal transplantation.METHODS:This is a retrospective study in which 123 patients with end stage renal disease (ESRD) underwent renal transplantation from January 2001 to October 2004 in Al Karama teaching hospital, Baghdad – Iraq. All the transplanted kidneys were from living donors. Direct matching between the serum of recipient and lymphocytes of the donor was negative. Extravesical ureteroneosystostomy was carried out using a stent across the anastomotic site. Postoperatively recipients were followed for 6 months by clinical and regular laboratory tests. Ultrasound and color Doppler examinations were performed when there was any evidence of decreased urinary output, allograft dysfunction, or clinical suspicion of rejection.RESULTS:In 123 patients aged 5 – 59 years with a mean age of 34 years, renal transplantation was carried out. Postoperative urological complications within the first 6 months were reported in 12 (9.75%) patients including urinary leakage in 6 (4.8%), ureteral obstruction in 3 (2.4%), and lymphocele in 3 (2.4%) patients.CONCLUSION:Major urological complications after renal transplantation contribute to patient morbidity and compromise graft function. Early diagnosis and treatment will avoid loss of the graft.

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