[Percutaneous treatment of renal transplant complications]

Abstract

The use of percutaneous endourological techniques in urological complications of renal transplantation has dropped the morbidity/mortality index. These techniques, especially percutaneous nephrostomy, allow us a renal drainage route, thereby improving the recipient's clinical situation and that of the transplant as well. Also, it will allow us access to other therapeutic means such as: introducing catheters, probes for dilating stenosis, and a means of approach to percutaneous nephrolithectomy. Perirenal collections (hematoma, lymphocele, abscess) can be resolved percutaneously to a large extent, without having to resort to surgery. It was observed from the 38 percutaneous endourological procedures performed that in many cases this was the definitive treatment, and in most cases allowed us to place the patient in an acceptable surgical condition. Therefore, we may conclude by stating that percutaneous endourological techniques have proven to be effective alternatives to immediate surgical reintervention, and that they should be used when faced with any urological complication of renal transplantation.