Review article

https://doi.org/10.21860/medflum2025_336659

Minimally Invasive Methods in the Treatment of Urolithiasis in Patients with Transplanted Kidneys

Matilda Crnić ; Klinika za urologiju, Klinički bolnički centar Rijeka, Rijeka, Hrvatska
Romano Oguić ; Klinika za urologiju, Klinički bolnički centar Rijeka, Rijeka, Hrvatska; Medicinski fakultet, Sveučilište u Rijeci, Rijeka, Hrvatska
Stanislav Sotošek ; Klinika za urologiju, Klinički bolnički centar Rijeka, Rijeka, Hrvatska
Josip Španjol ; Klinika za urologiju, Klinički bolnički centar Rijeka, Rijeka, Hrvatska; Medicinski fakultet, Sveučilište u Rijeci, 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
Juraj Ahel ; 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 ; Klinika za urologiju, Klinički bolnički centar Rijeka, Rijeka, Hrvatska
Ante Jakšić ; Klinika za urologiju, Klinički bolnički centar Rijeka, Rijeka, Hrvatska; Medicinski fakultet, Sveučilište u Rijeci, Rijeka, Hrvatska
Dorijan Srok ; Klinika za urologiju, Klinički bolnički centar Rijeka, Rijeka, Hrvatska
Iva Bukša ; Klinika za urologiju, Klinički bolnički centar Rijeka, Rijeka, Hrvatska
Dean Markić orcid.org/0000-0001-5696-0850 ; Klinika za urologiju, Klinički bolnički centar Rijeka, Rijeka, Hrvatska; Medicinski fakultet, Sveučilište u Rijeci, Rijeka, Hrvatska *

* Corresponding author.

Abstract

Urolithiasis is uncommon in patients with kidney transplants. Many factors, suchas metabolic abnormalities, immunosuppression, and surgical features of the transplantitself, can contribute to its development. Due to graft denervation, the classic symptoms ofrenal colic are absent, and the presentation is usually nonspecific. The most commonly usedimaging tests are ultrasound and computed tomography, which is the gold diagnosticstandard. In treatment, we currently use minimally invasive methods that includeextracorporeal shock wave fragmentation of stones, percutaneous nephrolithotripsy, andureterorenoscopy. The treatment method is selected based on the size, appearance, andposition of the stone, the anatomical specificities of the kidney and the patient, and theavailable equipment. With an experienced urological team, the success rate of thesemethods is very high, the number of complications is relatively low, and the impact on renalfunction is negligible.

Keywords

kidney transplantation; nephrolithiasis; ureterolithiasis; ureteroscopy

Hrčak ID:

336659

URI

https://hrcak.srce.hr/336659

Publication date:

1.12.2025.

Article data in other languages: croatian

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