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Repetitive ureteral stenting for management of transplant graft ureteral obstruction

PURPOSE: To review the use of repetitive stenting in the management of patients with ureteral obstruction after renal transplantation, with an emphasis on technique and functional graft outcome. MATERIALS AND METHODS: Five adult renal allograft recipients with ureteral obstruction were managed with repetitive ureteral stenting. Their hospital records, office notes, and operative reports were reviewed. RESULTS: All patients were successfully managed with retrograde ureteral stenting. They underwent an average of 8.8 stent changes over a mean 34.5 month follow up. No decline in renal function was observed. CONCLUSIONS: Repetitive stenting is a viable treatment option for select patients with renal allograft ureteral obstruction.

kidney transplantation; ureteral obstruction; catheterization; stent; graft survival


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