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

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

Juan G. Prada 1, Sofía Manjarrés-Sierra 2, Isabella Lince-Rivera 3, Carolina Martínez-Pinedo 4, Germán Patiño 5, Hugo López 6

1 Department of Urology, Hospital Universitario San Ignacio, Pontifical Xavierian University, Bogotá D.C, Colombia; 2 Department of Urology, Pontifical Xavierian University, Bogotá D.C, Colombia; 3 Department of Neuropediatrics, Faculty of Medicine and Health Sciences, Nueva Granada Military University, Bogotá D.C, Colombia; 4 Department of Urology, School of Medicine, Pontifical Xavierian University, Bogotá D.C, Colombia; 5 Department of Urology, Division of Reconstructive Surgery, Hospital Universitario San Ignacio, Pontifical Xavierian University, Bogotá D.C, Colombia; 6 Department of Urology, Pontificia Universidad Javeriana, Hospital Universitario San Ignacio, Bogotá, Colombia

*Correspondence: Carolina Martínez-Pinedo, Email not available

Abstract

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.

Keywords: Complications. Kidney transplantation. Urologic diseases. Vascular diseases. Post-operative complications.

Contents

DOI: 10.24875/RUC.23000028
Add to Mendeley

    PERMANYER

    Mallorca, 310
    08037 Barcelona (España)

    Arquímedes, 190 – Colonia Polanco
    Delegación Miguel Hidalgo
    11560 Ciudad de México (México)

    RECURRING LINKS
    CLOCKSS is a dak archive that ensures the long-term survival of web-based scholary publications, governed by and for its stakeholders.

    This journal adheres to the principles established by the Committee on Publication Ethics

    Descargar PDF
    English versión
    DOI: 10.24875/RUC.23000028

    Editorial times

    The editorial process consists of 6 stages:

    1. Reception of the manuscript (indeterminate, depending on whether the author meets the requirements): its objective is to verify that the manuscript complies with the specifications of these instructions for authors and that the submitted documentation is complete.

    2. Initial editorial review (maximum 5 business days): its objective is to corroborate the relevance, timeliness, originality, and scientific contribution of the manuscript, as well as the methodological and statistical soundness of the study. At this time, it will be submitted to an electronic plagiarism detection system. Derived from this, a rejected opinion may be obtained, or it will be sent for review by peer researchers.

    3. Review by peer researchers (maximum 30 business days): the opinion of at least two experts in the area in question will be obtained, who will evaluate the technical and methodological aspects of the investigation.

    4. Editorial review (maximum 7 business days): its objective is to make a decision based on the opinion of peer reviewers. The opinion can be rejected, major changes, minor changes or accepted. In the case of major or minor changes, it will be submitted again for evaluation by the initial peer reviewers.

    5. Final edition (6 weeks): its objective is the technical and linguistic edition (and translation), layout of galleys, DOI assignment, and correction by the author.

    6. Advanced publication: All manuscripts will be published ahead of print on the journal’s website as soon as they complete the editing process, until they are incorporated into a final issue of the journal.