Post transplant ureteric stenosis causing allograft hydronephrosis and calyceal rupture : salvage side to side ureteroneocystostomy

Abstract EN

A 26 years old lady with End Stage Renal Disease who received a cadaveric renal transplant, presented with ureteral stenosis as well as calyceal rupture due to hydronephrosis that was unresponsive to balloon dilation and the allograft was salvaged by a side to side ureteroneocystostomy.

The symptoms and renal function improved and patency of the side to side uretroneocystostomy was confirmed post operatively and also at seventeen month follow-up.

It may be reasonable to treat post-transplant ureteral stenosis resistant to balloon dilation with this technique.

However, long-term follow-up is required to evaluate the efficacy of this treatment.