Professional paper

https://doi.org/10.21860/medflum2020_245231

Urological complications after kidney transplantation – experience from Referral Center in Croatia

Dean Markić orcid.org/0000-0001-5696-0850 ; Klinika za urologiju, Klinički bolnički centar Rijeka, Rijeka, Hrvatska, Medicinski fakultet Sveučilišta u Rijeci, Rijeka, Hrvatska
Romano Oguić ; Klinika za urologiju, Klinički bolnički centar Rijeka, Rijeka, Hrvatska, Medicinski fakultet Sveučilišta u Rijeci, Rijeka, Hrvatska
Stanislav Sotošek ; Klinika za urologiju, Klinički bolnički centar Rijeka, Rijeka, Hrvatska
Kristian Krpina ; Klinika za urologiju, Klinički bolnički centar Rijeka, Rijeka, Hrvatska
Antun Gršković ; Klinika za urologiju, Klinički bolnički centar Rijeka, Rijeka, Hrvatska
Dražen Rahelić ; Klinika za urologiju, Klinički bolnički centar Rijeka, Rijeka, Hrvatska
Ahel Juraj ; Klinika za urologiju, Klinički bolnički centar Rijeka, Rijeka, Hrvatska
Nino Rubinić ; Klinika za urologiju, Klinički bolnički centar Rijeka, Rijeka, Hrvatska
Mauro Materljan ; Klinika za urologiju, Klinički bolnički centar Rijeka, Rijeka, Hrvatska
Marin Trošelj ; Klinika za urologiju, Klinički bolnički centar Rijeka, Rijeka, Hrvatska
Ivan Vukelić ; Klinika za urologiju, Klinički bolnički centar Rijeka, Rijeka, Hrvatska
Klara Smolić ; Klinika za urologiju, Klinički bolnički centar Rijeka, Rijeka, Hrvatska
Ivan Marin Sušanj ; Opća bolnica Koprivnica, Koprivnica, Hrvatska
Ante Jakšić ; Klinika za urologiju, Klinički bolnički centar Rijeka, Rijeka, Hrvatska
Ana Bošnjak ; Medicinski fakultet Sveučilišta u Rijeci, Rijeka, Hrvatska
Josip Španjol ; Klinika za urologiju, Klinički bolnički centar Rijeka, Rijeka, Hrvatska, Medicinski fakultet Sveučilišta u Rijeci, Rijeka, Hrvatska

Abstract

Aim: To evaluate the incidence of urological complications after kidney transplantation in our transplant center. Patients and Methods: We retrospectively analyzed all patients with kidney transplantation operated in University Hospital Rijeka from January 30st 1971 to December 31st 2018. Results: In the observed period 1160 kidney transplantations were performed in our transplant center. Urological complications were noticed in the 154 patients (13.3%). The most frequent complications were ureteral stenosis in 52 patients (4.5%), urinary fistula in 50 patients (4.3%), urinary retention in 23 patients (1.9%) and urolithiasis in the 8 patients (0.7%). The majority of the patients underwent surgical treatment. Recently, minimally invasive surgery was the method of choice for treatment of urological complications. In two patients (0,17%) urological complications caused graft loss and in the three patients (0,25%) this complications lead to death. Conclusion: Urological complications are not frequent in our transplant population. In the group of patients that required surgical treatment endourology methods are currently the initial treatment modality.

Keywords

endourology; kidney transplantation; urological complications

Hrčak ID:

245231

URI

https://hrcak.srce.hr/245231

Publication date:

1.12.2020.

Article data in other languages: croatian

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