Post‐renal transplant ureterocutaneous fistula: Management of complications and literature review

Ureterocutaneous fistula is a major complication following renal transplantation. Timely management can minimise patient and graft comorbidities. We reported three cases of post‐renal transplant ureterocutaneous fistula. Two of them were successfully repaired with Boari flap and one of them were rep...

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Bibliographic Details
Published in:Surgical practice 2019-08, Vol.23 (3), p.112-116
Main Authors: Lam, Wilson Wing‐Chung, Chan, Tsz‐Yeung, Cheng, Cheung‐Hing, Lee, Yue‐Kit, Chau, Lysander Hin, Man, Chi‐Wai, Chu, Sau‐Kwan
Format: Article
Language:English
Subjects:
Fistula
Health risk assessment
Literature reviews
Transplants & implants
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Summary:Ureterocutaneous fistula is a major complication following renal transplantation. Timely management can minimise patient and graft comorbidities. We reported three cases of post‐renal transplant ureterocutaneous fistula. Two of them were successfully repaired with Boari flap and one of them were repaired with ileal interposition. Literature review revealed that double‐J stent insertion during renal transplant can significantly reduce post‐transplant major ureteric complications (MUC). Evidence did not show any difference in MUC between early removal of stent (≤14 days) and late removal (>14 days). Yet incidence of UTI could be reduced in early stent removal.
ISSN:1744-1625
1744-1633
DOI:10.1111/1744-1633.12363