Abstract
We describe a 40-year-old living-donor renal-transplant recipient who underwent successful ureterolithotripsy. He had been on hemodialysis for > 15 years pre-transplant and underwent ureteroureterostomy along with the surgery. One year post-transplant, ultrasound examination demonstrated hydronephrosis, and CT showed a 6-mm ureteral calculus at the ureteroureterostomy site. No pain and no elevated serum creatinine were present. As the ureter was easily accessed, we performed a ureterolithotripsy, which would confirm whether a suture caused the calculus. Despite ureteral tortuosity, laser stone fragmentation succeeded. The calculus was completely removed with an antegrade guidewire. Mild postoperative ureteral stenosis resolved with a temporary ureteral stent without balloon dilation. Ureterolithotripsy is effective even in renal transplant recipients with ureteroureterostomy.
| Original language | English |
|---|---|
| Pages (from-to) | 449-452 |
| Number of pages | 4 |
| Journal | Acta Medica Okayama |
| Volume | 71 |
| Issue number | 5 |
| Publication status | Published - 2017 |
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Keywords
- Lithotripsy
- Recipient
- Renal transplant
- Ureteral stone
- Ureteroscopy
ASJC Scopus subject areas
- Biochemistry, Genetics and Molecular Biology(all)
Cite this
Ureterolithotripsy for a ureteral calculus at the ureteroureterostomy of a renal-transplant recipient. / Mitsui, Yosuke; Wada, Koichiro; Araki, Motoo; Yoshioka, Takashi; Ariyoshi, Yuichi; Nishimura, Shingo; Kobayashi, Yasuyuki; Sasaki, Katsumi; Watanabe, Toyohiko; Nasu, Yasutomo.
In: Acta Medica Okayama, Vol. 71, No. 5, 2017, p. 449-452.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Ureterolithotripsy for a ureteral calculus at the ureteroureterostomy of a renal-transplant recipient
AU - Mitsui, Yosuke
AU - Wada, Koichiro
AU - Araki, Motoo
AU - Yoshioka, Takashi
AU - Ariyoshi, Yuichi
AU - Nishimura, Shingo
AU - Kobayashi, Yasuyuki
AU - Sasaki, Katsumi
AU - Watanabe, Toyohiko
AU - Nasu, Yasutomo
PY - 2017
Y1 - 2017
N2 - We describe a 40-year-old living-donor renal-transplant recipient who underwent successful ureterolithotripsy. He had been on hemodialysis for > 15 years pre-transplant and underwent ureteroureterostomy along with the surgery. One year post-transplant, ultrasound examination demonstrated hydronephrosis, and CT showed a 6-mm ureteral calculus at the ureteroureterostomy site. No pain and no elevated serum creatinine were present. As the ureter was easily accessed, we performed a ureterolithotripsy, which would confirm whether a suture caused the calculus. Despite ureteral tortuosity, laser stone fragmentation succeeded. The calculus was completely removed with an antegrade guidewire. Mild postoperative ureteral stenosis resolved with a temporary ureteral stent without balloon dilation. Ureterolithotripsy is effective even in renal transplant recipients with ureteroureterostomy.
AB - We describe a 40-year-old living-donor renal-transplant recipient who underwent successful ureterolithotripsy. He had been on hemodialysis for > 15 years pre-transplant and underwent ureteroureterostomy along with the surgery. One year post-transplant, ultrasound examination demonstrated hydronephrosis, and CT showed a 6-mm ureteral calculus at the ureteroureterostomy site. No pain and no elevated serum creatinine were present. As the ureter was easily accessed, we performed a ureterolithotripsy, which would confirm whether a suture caused the calculus. Despite ureteral tortuosity, laser stone fragmentation succeeded. The calculus was completely removed with an antegrade guidewire. Mild postoperative ureteral stenosis resolved with a temporary ureteral stent without balloon dilation. Ureterolithotripsy is effective even in renal transplant recipients with ureteroureterostomy.
KW - Lithotripsy
KW - Recipient
KW - Renal transplant
KW - Ureteral stone
KW - Ureteroscopy
UR - http://www.scopus.com/inward/record.url?scp=85031126273&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85031126273&partnerID=8YFLogxK
M3 - Article
C2 - 29042705
AN - SCOPUS:85031126273
VL - 71
SP - 449
EP - 452
JO - Acta Medica Okayama
JF - Acta Medica Okayama
SN - 0386-300X
IS - 5
ER -