TY - JOUR
T1 - Urologic Considerations and Complications in Kidney Transplant Recipients
AU - Di Carlo, Heather N.
AU - Darras, Frank S.
N1 - Publisher Copyright:
© 2015 National Kidney Foundation, Inc.
PY - 2015/7/1
Y1 - 2015/7/1
N2 - Urologic considerations during the kidney transplantation process, starting with initial recipient evaluation and continuing through the post-transplant, long-term follow-up, are critical for minimizing urologic complications and improving graft survival. Appropriate, targeted, preoperative urologic evaluation of the recipient allows for an optimized urinary tract to accept the graft, whereas post-transplant urologic follow-up and monitoring decrease the risk of graft lost secondary to a urologic cause, particularly in patients with a urologic reason for their kidney failure and in those patients with concomitant urologic diagnoses. Urologic complications comprise the second most common adverse post-transplant event, occurring in 2.5% to 14% of patients and are associated with high morbidity, graft loss, and mortality. Early and late urologic complications, including hematuria, hematoma, lymphocele, urine leak, ureteral stricture, nephrolithiasis, and vesicoureteral reflux, and their causes and treatment options are explored. A multidisciplinary team approach to kidney transplantation, including transplant surgery, urology, and nephrology, optimizes outcomes and graft survival. Although the current role of the urologist in kidney transplantation varies greatly by institution, appropriate consultation, participation, and monitoring in select patients is essential.
AB - Urologic considerations during the kidney transplantation process, starting with initial recipient evaluation and continuing through the post-transplant, long-term follow-up, are critical for minimizing urologic complications and improving graft survival. Appropriate, targeted, preoperative urologic evaluation of the recipient allows for an optimized urinary tract to accept the graft, whereas post-transplant urologic follow-up and monitoring decrease the risk of graft lost secondary to a urologic cause, particularly in patients with a urologic reason for their kidney failure and in those patients with concomitant urologic diagnoses. Urologic complications comprise the second most common adverse post-transplant event, occurring in 2.5% to 14% of patients and are associated with high morbidity, graft loss, and mortality. Early and late urologic complications, including hematuria, hematoma, lymphocele, urine leak, ureteral stricture, nephrolithiasis, and vesicoureteral reflux, and their causes and treatment options are explored. A multidisciplinary team approach to kidney transplantation, including transplant surgery, urology, and nephrology, optimizes outcomes and graft survival. Although the current role of the urologist in kidney transplantation varies greatly by institution, appropriate consultation, participation, and monitoring in select patients is essential.
KW - Complications
KW - Kidney transplantation
KW - Urinary tract
KW - Urology
UR - http://www.scopus.com/inward/record.url?scp=84930903774&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84930903774&partnerID=8YFLogxK
U2 - 10.1053/j.ackd.2015.04.003
DO - 10.1053/j.ackd.2015.04.003
M3 - Review article
C2 - 26088075
AN - SCOPUS:84930903774
VL - 22
SP - 306
EP - 311
JO - Advances in Chronic Kidney Disease
JF - Advances in Chronic Kidney Disease
SN - 1548-5595
IS - 4
ER -