Ureterovesical Leak Following Renal Transplant and Effects of Acute Rejection and Antirejection Therapy: A Nested Case-Control Analysis and Outcome of 1102 Consecutive Renal Transplant Recipients.
Akshay KriplaniSanjoy Kumar SurekaAnil ManiSanchit RustagiUday Pratap SinghM S AnsariNarayan PrasadHarshita SharmaAneesh SrivastavaPublished in: Experimental and clinical transplantation : official journal of the Middle East Society for Organ Transplantation (2023)
Nontechnical risk factors that cause posttransplant ureteric leak include older donor and recipient age and ABO incompatible and 6/6 HLA mismatch transplants. Acute rejection and plasmapheresis predispose leak, and an indwelling double J stent can allow adequate healing of the anastomosis. High index of suspicion and prompt management are imperative to preserve graft and patient outcome.