Open Access

HOW I DO IT

Ureteric re-implant for the strictured renal allograft: How I do it

Thomas McGregor¹, Tadeuz Kroczak¹, Chun Huang¹, Joshua Koulack²

1 Division of Urology, Department of Surgery, University of Manitoba, Winnipeg, Manitoba, Canada 2 Division of Vascular Surgery, Department of Surgery, University of Manitoba, Winnipeg, Manitoba, Canada Address correspondence to Dr. Thomas McGregor, Division of Urology, Department of Surgery, University of Manitoba, AD203-720 Mc Dermot Avenue, Winnipeg, MB R3T 2N2 Canada

Canadian Journal of Urology 2016, 23(3), 8296-8300.

Abstract

Ureteric stricture is the most common urologic complication following renal transplantation. Initial treatment should consist of endoscopic management; however, patients that fail endoscopic management or strictures that are not amenable to endoscopic management are appropriate candidates for open surgical repair. In this manuscript, we describe the steps and surgical technique we use to manage complicated ureteric strictures refractory to endoscopic management at our center. Ureteric re-implant with the use of a Boari flap is a safe, effective, and definitive option for repair of ureteric strictures following renal transplantation. This approach provides excellent long-term outcomes in terms of renal function preservation and negligible recurrence rates.

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Keywords

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