Paper Information

Title: 

PCN IN DIAGNOSIS AND TREATMENT OF SURGICAL COMPLICATIONS OF KIDNEY TRANSPLANTATION

Type: PAPER
Author(s): NOORBALA MOHAMMAD HOSSEIN*
 
 *
 
Name of Seminar: CONGREH ANJOMAN UROLOGY IRAN
Type of Seminar:  CONGRESS
Sponsor:  ANJOMAN OROLOGY
Date:  2005Volume 8
 
 
Abstract: 

PURPOSE: PCN HAS IMPORTANT ROLE IN EARLY RELIEF OF OBSTRUCTION, DIAGNOSIS AND ETIOLOGIC TREATMENT OF SURGICAL COMPLICATIONS OF KIDNEY TRANSPLANT ESPECIALLY OBSTRUCTIVE COMPLICATION. WE REVIEW THE PCN IN 1402 KIDNEY TRANSPLANT WHICH PERFORMED IN OUR CENTER FROM 1992 TO 2002.
METHODS AND MATERIALS: WE PERFORMED 1402 LIVING DONOR HETEROTOPIC KIDNEY TRANSPLANT WHICH 93.1% OF DONORS WERE UNRELATED, MEAN AGE WAS 38.53 YEARS. MALE/FEMALES RATIS WAS 1.72/1 RESULTS: AVERAGE FOLLOW UP PERIOD WAS 34.2 MONTHS. IN THIS PERIOD MORTALITY WAS 40 (2.9%). GRAFT LOSS WAS 135 (9.6%) AND AVERAGE CREATININE LEVEL IN PATIENTS WITH FUNCTIONAL GRAFT WAS 1.43±0.71 MG% WE REVIEWED PATIENTS WHO HAD HYDRONEPHROSIS, UREMIA OR URINARY LEAKAGE IN FOLLOW UP PERIOD AND NEEDED PCN, WE TREATED 21 PATIENTS WITH PCN AND IN ALL PATIENTS OBSTRUCTION RELIEVED AND CREATININE LEVEL DROPPED TO PREOBSTRUCTION LEVEL WITHOUT INFECTION AND OTHER COMPLICATIONS.
11 PATIENTS HAD OBSTRUCTIVE LYMPHOCELE WITH HYDRONEPHROSIS, PCN FOR 21 TO 70 DAYS TREATED ALL PATIENTS WITHOUT ANY OTHER TREATMENT MODALITY.
2 PATIENTS HAD LATE UVJ OBSTRUCTION, PCN RELIEVED OBSTRUCTION AND WITH STABLE CREATININE WE PERFORMED DILATATION OF UVJ AND STENTING OF URETER FOR 3 MONTHS COMPLETED THE TREATMENT.
8 PATIENTS HAD STONE AFTER WITHDRAWING URETERAL STENT OR IN FOLLOW UP PERIOD WITH OBSTRUCTION WHICH AFTER PCN WE PERFORMED ESWL.6 PERSONS WERE STONE FREE BUT IN 2 PATIENTS NEPHROSCOPY AND PCNL WAS PERFORMED FROM PCN TRACT WITH 12F AMPLATZ SHEATH AND 10F URETEROSCOPE AND STONE FRAGMENTS EXTRACTED.
11 PATIENTS TREATED FOR URINARY LEAKAGE. INDWELLING CATHETER FOR 21–60 DAYS TREATED ALL PATIENTS WITHOUT NEED OF PCN OR ANY OTHER OPTIONS.
DISCUSSION AND CONCLUTION: PCN IS THE CHOICE ACCESS WAY TO ALL OBSTRUCTIVE COMPLICATIONS OF KIDNEY TRANSPLANT.
IT HAS IMPORTANT ROLE IN DIAGNOSIS OF ETIOLOGIC CAUSE OF OBSTRUCTION AND IS EXCELLENT WAY FOR TREATMENT OF ETIOLOGIC FACTORS OF OBSTRUCTION WITHOUT COMPLICATION.
WE RECOMMEND PCN AS A LESS INVASIVE METHOD FOR DIAGNOSIS AND TREATMENT OF OBSTRUCTIVE COMPLICATIONS OF TRANSPLANTED KIDNEY WITHOUT SIGNIFICANT COMPLICATIONS.

 
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