Fine Needle Antegrade Pyelography in the Renal Transplant

Abstract
Antegrade pyelography by fine needle puncture provides superior anatomic detail of the transplant ureter. It is the most accurate and informative examination for ureteral stricture and perforation, providing information not usually obtainable by excretory urography, radionuclide scan, ultrasound or retrograde pyelography. The technique of fine needle antegrade pyelography and its application in 11 patients are described. The method is remarkably safe, with no clinically significant complications in this series or in a literature survey of 734 other fine needle kidney punctures.