Minimal-invasive management of urological complications after kidney transplantation
Susanne Deininger, Silvio Nadalin, Bastian Amend, Martina Guthoff, Nils Heyne, Alfred Königsrainer, Jens Strohäker, Arnulf Stenzl, Steffen Rausch
Abstract
Kidney transplantation represents the gold standard treatment option for patients with end-stage renal disease. Improvements in surgical technique and pharmacologic treatment have continuously prolonged allograft survival in recent years. However, urological complications are frequently observed, leading to both postoperative morbidity and putative deterioration of allograft function. While open redo surgery in these patients is often accompanied by elevated surgical risk, endoscopic management of urological complications is an alternative, minimal-invasive option. In the present article, we reviewed the literature on relevant urological postoperative complications after kidney transplantation and describe preventive approaches during the pre-transplantation assessment and their management using minimal-invasive approaches.