https://doi.org/10.4081/aiua.2019.4.263
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Renal autotransplantation: A final option to preserve the kidney after an iatrogenic ureteral injury

Authors

Napoleon Moulavasilis
napomoul@hotmail.com
1st Department of Urology, National and Kapodistrian University of Athens, Laiko Hospital, Athens, Greece.
Ioannis Katafigiotis
1st Department of Urology, National and Kapodistrian University of Athens, Laiko Hospital, Athens, Greece.
Dimitris Staios
Urologist, Laiko Hospital, Athens, Greece.
Christos Nikolaidis
Renal Transplant Unit, Laiko Hospital, Athens, Greece.
Spyridon Vernadakis
Renal Transplant Unit, Laiko Hospital, Athens, Greece.
John Bokos
Renal Transplant Unit, Laiko Hospital, Athens, Greece.
Ioannis Anastasiou
1st Department of Urology, National and Kapodistrian University of Athens, Laiko Hospital, Athens, Greece.

Background: Ureteral injuries are not very common and can occur after many surgical procedures. Kidney salvage is desirable. Renal autotransplantation is a final option for some cases. In this case, we report an autotransplantation of the kidney after an iatrogenic injury of the ureter with totally extraperitoneal approach.
Case report: A 41 years old female underwent left endoscopic ureterolithotomy with holmium laser for ureteral calculi. An iatrogenic ureteral injury, probably ureteral avulsion, occurred. After multiple interventions, she referred to us with a nephrostomy tube. Imaging was performed and left renal autotransplantation was chosen as surgical management. The approach was totally extraperitoneal. No alteration of renal function or of urine outflow was observed during the follow up.
Conclusions: The report supports the safety and efficacy of renal autotransplantation.

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How to Cite

Moulavasilis, N., Katafigiotis, I., Staios, D., Nikolaidis, C., Vernadakis, S., Bokos, J., & Anastasiou, I. (2020). Renal autotransplantation: A final option to preserve the kidney after an iatrogenic ureteral injury. Archivio Italiano Di Urologia E Andrologia, 91(4), 263–264. https://doi.org/10.4081/aiua.2019.4.263

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