Endourologic management of renal transplant complications1

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Technical complications requiring reoperation following renal transplantation continue to be significant factors contributing to graft loss and subsequent death. Furthermore, repeated surgical procedures are poorly tolerated in these immunosuppressed and often azotemic patients. In the past few years, nonoperative endourologic procedures have been employed to temporize or even definitively manage many high-risk urologic patients with obstructive uropathy or urinary fistulas. While the exact indications and long-term results of such management are generally still unknown, these endourologic procedures are now being increasingly applied to selected renal-transplant recipients.



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