Treatment of recurrent ureteral stricture after kidney transplantation with nitinol stent
https://doi.org/10.23873/2074-0506-2024-16-3-337-344
Abstract
Introduction. Urological complications make up a significant percentage in the structure of kidney graft loss and patient death in the early and long-term period after transplantation. The most common urological complication in the long-term period is ureter or anastomotic stricture, which, according to various authors, occurs in 0.9–34%. However, now there is no consensus in the treatment for recurrent strictures.
Case report. We have presented a clinical case of successful treatment for the stricture of the ureterovesical anastomosis after kidney transplant from a brain-dead donor. During the first year after kidney transplantation, after two reconstructive surgeries and repeated placement of plastic stents, the patient was diagnosed with recurrent stricture of the ureterovesical anastomosis, and therefore a coated nitinol ureteral stent was implanted.
Conclusion. This clinical case report demonstrates the feasibility of effectively using a nitinol stent in the treatment of recurrent strictures of the ureterovesical anastomosis after kidney transplantation. In some cases, this technique can be considered as an alternative to repeated surgical interventions. Further studies are needed to determine a more precise treatment algorithm.
About the Authors
A. V. Shabunin
City Clinical Hospital n.a. S.P. Botkin ; Russian Medical Academy of Continuous Professional Education
Russian Federation
Russian Federation
Aleksey V. Shabunin, Academician of the Russian Academy of Sciences, Prof., Dr. Sci. (Med.), Head Physician; Head of the Department of Surgery
5 2-nd Botkinskiy Dr., Moscow 125284
2/1 Bldg. 1 Barrikadnaya St., Moscow 125993
G. M. Chechenin
City Clinical Hospital n.a. S.P. Botkin ; Russian Medical Academy of Continuous Professional Education
Russian Federation
Russian Federation
Grigory M. Chechenin, Cand. Sci. (Med.), Surgeon, Department of Liver and Pancreas Surgery; Associate Professor of Surgery Department
5 2-nd Botkinskiy Dr., Moscow 125284
2/1 Bldg. 1 Barrikadnaya St., Moscow 125993
P. A. Drozdov
City Clinical Hospital n.a. S.P. Botkin ; Russian Medical Academy of Continuous Professional Education
Russian Federation
Russian Federation
Pavel A. Drozdov, Dr. Sci. (Med.), Head of the Department of Organ and/or Tissue Transplantation ; Associate Professor of the Department of Surgery
5 2-nd Botkinskiy Dr., Moscow 125284
2/1 Bldg. 1 Barrikadnaya St., Moscow 125993
I. V. Nesterenko
City Clinical Hospital n.a. S.P. Botkin
Russian Federation
Russian Federation
Igor V. Nesterenko, Prof., Dr. Sci. (Med.), Surgeon, Department of Organ and/or Tissue Transplantation
5 2-nd Botkinskiy Dr., Moscow 125284
S. A. Astapovich
City Clinical Hospital n.a. S.P. Botkin
Russian Federation
Russian Federation
Sergey A. Astapovich, Resident Doctor, Surgical Clinic
5 2-nd Botkinskiy Dr., Moscow 125284
E. A. Lidzhieva
Russian Medical Academy of Continuous Professional Education
Russian Federation
Russian Federation
Elza A. Lidzhieva, Resident Doctor, Surgery Department
2/1 Bldg. 1 Barrikadnaya St., Moscow 125993
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Review
For citations:
Shabunin A.V., Chechenin G.M., Drozdov P.A., Nesterenko I.V., Astapovich S.A., Lidzhieva E.A. Treatment of recurrent ureteral stricture after kidney transplantation with nitinol stent. Transplantologiya. The Russian Journal of Transplantation. 2024;16(3):337-344. https://doi.org/10.23873/2074-0506-2024-16-3-337-344
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