Renal autotransplantation: A final option to preserve the kidney after an iatrogenic ureteral injury

• Main Authors: Napoleon Moulavasilis, Ioannis Katafigiotis, Dimitris Staios, Christos Nikolaidis, Spyridon Vernadakis, John Bokos, Ioannis Anastasiou
• Format: Article
• Language: English
• Published: PAGEPress Publications 2020-01-01
• Series: Archivio Italiano di Urologia e Andrologia
• Subjects: Ureteral injury; Iatrogenic; Renal autotransplantation; Totally extraperitoneal
• Online Access: https://pagepressjournals.org/index.php/aiua/article/view/8380

Background: Ureteral injuries are not very common and can occur after many surgical procedures. Kidney salvage is desirable. Renal autotransplantation is a final option for some cases. In this case, we report an autotransplantation of the kidney after an iatrogenic injury of the ureter with totally extraperitoneal approach. Case report: A 41 years old female underwent left endoscopic ureterolithotomy with holmium laser for ureteral calculi. An iatrogenic ureteral injury, probably ureteral avulsion, occurred. After multiple interventions, she referred to us with a nephrostomy tube. Imaging was performed and left renal autotransplantation was chosen as surgical management. The approach was totally extraperitoneal. No alteration of renal function or of urine outflow was observed during the follow up. Conclusions: The report supports the safety and efficacy of renal autotransplantation.