The Use of Self-Retained Ureteral Stents in the Management of Urologic Complications in Renal Transplant Recipients

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Abstract
Nineteen self-retaining ureteral stents were used to manage postoperative ureteral obstruction and fistulas in 12 renal transplant recipients. In 3 patients with ureteral obstruction and 2 with a fistula, placement of the self-retaining stents for 4-6 wk allowed the complication to resolve. In 3 patients with ureteral obstruction, placement of the self-retaining stents allowed for stabilization of the condition and reduction of immunosuppression therapy before an open surgical repair. In 6 patients, self-retaining ureteral stents were used to protect the high risk anastomosis done at an open surgical repair of a complication. Placement of a self-retaining ureteral stent may be the best choice in the early management of ureteral obstruction and fistulas in transplant recipients.