Results of minimally invasive surgical treatment of allograft lithiasis in live-donor renal transplant recipients: a single-center experience of 3758 renal transplantations

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dc.contributor.authorSarıer, Mehmet
dc.contributor.authorDuman, İbrahim
dc.contributor.authorYüksel, Yücel
dc.contributor.authorTekin, Sabri
dc.contributor.authorDemir, Meltem
dc.contributor.authorArslan, Fatih
dc.contributor.authorYavuz, Asuman Havva
dc.date.accessioned2021-05-15T11:34:34Z
dc.date.available2021-05-15T11:34:34Z
dc.date.issued2019
dc.departmentTıp Fakültesi, Cerrahi Anabilim Dalıen_US
dc.descriptionSarier, Mehmet/0000-0002-8656-7416;
dc.description.abstractAllograft lithiasis is a rare urologic complication of renal transplantation (RT). Our aim is to present our experience with minimally invasive surgical treatment of allograft lithiasis in our series of live-donor renal transplant recipients. In a retrospective analysis of 3758 consecutive live-donor RTs performed in our center between November 2009 and January 2017, the results of minimally invasive surgery for the treatment of renal graft lithiasis diagnosed at follow-up were evaluated. Twenty-two (0.58%) patients underwent minimally invasive surgery for renal graft lithiasis. The mean age was 41.6 years, and duration between RT and surgical intervention was 27.3 months (range 3-67). The mean stone size was 11.6 mm (range 4-29). Stones were located in the urethra in 1, bladder in 2, ureter in 9, renal pelvis in 7 and calices in 3 patients. Surgical treatment included percutaneous nephrolithotomy in 1, cystoscopic lithotripsy in 3, flexible ureteroscopic lithotripsy in 6 and rigid ureteroscopic lithotripsy in 12 patients. No major complications were observed. One patient (4.5%) who underwent flexible ureteroscopy developed postoperative urinary tract infection. All patients were stone-free except two (9%) patients who required a second-look procedure after flexible ureteroscopic lithotripsy for residual stones. Stone recurrence was not observed in any patient during a mean follow-up duration of 30.2 months (range 8-84). Renal transplant lithiasis is uncommon and minimally invasive surgical treatment is rarely performed for its treatment. Endourological surgery may be performed safely, effectively and with a high success rate in these patients.en_US
dc.identifier.doi10.1007/s00240-018-1051-0
dc.identifier.endpage278en_US
dc.identifier.issn2194-7228
dc.identifier.issn2194-7236
dc.identifier.issue3en_US
dc.identifier.pmid29484468
dc.identifier.scopus2-s2.0-85042549204
dc.identifier.scopusqualityQ2
dc.identifier.startpage273en_US
dc.identifier.urihttps://doi.org/10.1007/s00240-018-1051-0
dc.identifier.urihttps://hdl.handle.net/20.500.12939/341
dc.identifier.volume47en_US
dc.identifier.wosWOS:000467614200009
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorTekin, Sabri
dc.language.isoen
dc.publisherSpringeren_US
dc.relation.ispartofUrolithiasis
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectRenal Transplantationen_US
dc.subjectUrolithiasisen_US
dc.subjectUreteroscopyen_US
dc.titleResults of minimally invasive surgical treatment of allograft lithiasis in live-donor renal transplant recipients: a single-center experience of 3758 renal transplantations
dc.typeArticle

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