Ureterolithotripsy for a ureteral calculus at the ureteroureterostomy of a renal-transplant recipient

Yosuke Mitsui, Koichiro Wada, Motoo Araki, Takashi Yoshioka, Yuichi Ariyoshi, Shingo Nishimura, Yasuyuki Kobayashi, Katsumi Sasaki, Toyohiko Watanabe, Yasutomo Nasu

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1 Citation (Scopus)

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 languageEnglish
Pages (from-to)449-452
Number of pages4
JournalActa Medica Okayama
Volume71
Issue number5
Publication statusPublished - 2017

Fingerprint

Ureteral Calculi
Transplants
Calculi
Kidney
Hydronephrosis
Living Donors
Ureter
Sutures
Stents
Renal Dialysis
Dilatation
Creatinine
Pathologic Constriction
Lasers
Pain
Balloons
Serum
Surgery
Ultrasonics
Transplant Recipients

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 journalArticle

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