Urological, vascular, and infectious implications of kidney transplant: a single-center experience

Introduction: Kidney transplant has improved in the last decades due to new technologies and surgical techniques. However, there are still multiple complications associated with this procedure, which can affect the function and viability of the kidney graft. Our aim was to describe the incidence of...

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Main Authors: Juan G. Prada, Sofía Manjarrés-Sierra, Isabella Lince-Rivera, Carolina Martínez-Pinedo, Germán Patiño, Hugo E. López
Format: Article
Language:English
Published: Sociedad Colombiana de Urología 2023-07-01
Series:Urología Colombiana
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Online Access:https://www.urologiacolombiana.com/frame_eng.php?id=18
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author Juan G. Prada
Sofía Manjarrés-Sierra
Isabella Lince-Rivera
Carolina Martínez-Pinedo
Carolina Martínez-Pinedo
Germán Patiño
Hugo E. López
author_facet Juan G. Prada
Sofía Manjarrés-Sierra
Isabella Lince-Rivera
Carolina Martínez-Pinedo
Carolina Martínez-Pinedo
Germán Patiño
Hugo E. López
author_sort Juan G. Prada
collection DOAJ
description Introduction: Kidney transplant has improved in the last decades due to new technologies and surgical techniques. However, there are still multiple complications associated with this procedure, which can affect the function and viability of the kidney graft. Our aim was to describe the incidence of urological, vascular, and infectious complications in the 1st month after the procedure. Methods: A cross-sectional and retrospective study was carried out. Records of all patients who underwent kidney transplant from 2007 to 2017 were reviewed and data of demographic and surgical variables as well as information of vascular, urological, and infectious complications during the 1st post-operative month were registered and analyzed. Results: A total of 243 patients that required kidney transplant were assessed. The most common chronic kidney disease etiologies were: idiopathic (25.5%), glomerulopathies (24.7%), and hypertension (23.5%). Seventy patients (28.8%) presented a complication, of which 31 were urological, 27 were infectious, and 12 were vascular. In each category, the most frequent complications were the perirenal hematoma, the urinary tract infection, and renal artery stenosis, respectively. Conclusions: The prevalence of complications found in our center is similar to that reported in the literature and it is significant. It is important for medical personnel to be aware of this data to have a high level of suspicion and make an active search, as an early diagnosis and treatment of these pathologies are crucial to avoid graft loss.
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spelling doaj-art-b2667b91dd5745e3a804ac42eb08a3ed2025-02-03T10:01:18ZengSociedad Colombiana de UrologíaUrología Colombiana0120-789X2023-07-01323Urological, vascular, and infectious implications of kidney transplant: a single-center experienceJuan G. Prada0Sofía Manjarrés-Sierra1Isabella Lince-Rivera2Carolina Martínez-Pinedo3Carolina Martínez-Pinedo4Germán Patiño5Hugo E. López6Department of Urology, Hospital Universitario San Ignacio, Pontifical Xavierian University, Bogotá D.C, ColombiaDepartment of Urology, Pontifical Xavierian University, Bogotá D.C, ColombiaDepartment of Neuropediatrics, Faculty of Medicine and Health Sciences, Nueva Granada Military University, Bogotá D.C, ColombiaDepartment of Urology, School of Medicine, Pontifical Xavierian University, Bogotá D.C, ColombiaDepartment of Urology, School of Medicine, Pontifical Xavierian University, Bogotá D.C, ColombiaDepartment of Urology, Division of Reconstructive Surgery, Hospital Universitario San Ignacio, Pontifical Xavierian University, Bogotá D.C, ColombiaDepartment of Urology, Division of Endourology, Hospital Universitario San Ignacio, Pontifical Xavierian University. Bogotá D.C, ColombiaIntroduction: Kidney transplant has improved in the last decades due to new technologies and surgical techniques. However, there are still multiple complications associated with this procedure, which can affect the function and viability of the kidney graft. Our aim was to describe the incidence of urological, vascular, and infectious complications in the 1st month after the procedure. Methods: A cross-sectional and retrospective study was carried out. Records of all patients who underwent kidney transplant from 2007 to 2017 were reviewed and data of demographic and surgical variables as well as information of vascular, urological, and infectious complications during the 1st post-operative month were registered and analyzed. Results: A total of 243 patients that required kidney transplant were assessed. The most common chronic kidney disease etiologies were: idiopathic (25.5%), glomerulopathies (24.7%), and hypertension (23.5%). Seventy patients (28.8%) presented a complication, of which 31 were urological, 27 were infectious, and 12 were vascular. In each category, the most frequent complications were the perirenal hematoma, the urinary tract infection, and renal artery stenosis, respectively. Conclusions: The prevalence of complications found in our center is similar to that reported in the literature and it is significant. It is important for medical personnel to be aware of this data to have a high level of suspicion and make an active search, as an early diagnosis and treatment of these pathologies are crucial to avoid graft loss. https://www.urologiacolombiana.com/frame_eng.php?id=18Complications. Kidney transplantation. Urologic diseases. Vascular diseases. Post-operative complications.
spellingShingle Juan G. Prada
Sofía Manjarrés-Sierra
Isabella Lince-Rivera
Carolina Martínez-Pinedo
Carolina Martínez-Pinedo
Germán Patiño
Hugo E. López
Urological, vascular, and infectious implications of kidney transplant: a single-center experience
Urología Colombiana
Complications. Kidney transplantation. Urologic diseases. Vascular diseases. Post-operative complications.
title Urological, vascular, and infectious implications of kidney transplant: a single-center experience
title_full Urological, vascular, and infectious implications of kidney transplant: a single-center experience
title_fullStr Urological, vascular, and infectious implications of kidney transplant: a single-center experience
title_full_unstemmed Urological, vascular, and infectious implications of kidney transplant: a single-center experience
title_short Urological, vascular, and infectious implications of kidney transplant: a single-center experience
title_sort urological vascular and infectious implications of kidney transplant a single center experience
topic Complications. Kidney transplantation. Urologic diseases. Vascular diseases. Post-operative complications.
url https://www.urologiacolombiana.com/frame_eng.php?id=18
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