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

Research output: Contribution to journalArticle

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

Keywords

  • Lithotripsy
  • Recipient
  • Renal transplant
  • Ureteral stone
  • Ureteroscopy

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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