Renal autotransplantation: A final option to preserve the kidney after an iatrogenic ureteral injury

  • 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.

Abstract

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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Published
2020-01-14
Info
Issue
Section
Case Reports
Keywords:
Ureteral injury, Iatrogenic, Renal autotransplantation, Totally extraperitoneal
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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