Cadaveric renal transplant and urological complications – our experience

Aim: Urologic complications in post renal transplant, are a cause of major concern as they occur in a high risk setting and cause considerable morbidity. Here we aim to present our 7 year experience in cadaveric renal transplant with respect to urological complications, analyse the possible risk factors, management modalities and prevention of the same. Materials and Methods: From January 2011 to December 2017, data of all cadaveric graft recipients who developed urologic complications and managed in our institute, was retrieved retrospectively from Transplant Out Patient department and analyzed. Results: Out of the 176 patients who underwent deceased donor renal transplant, 18(10.2%)developed urologic complications. Mean recipient age was 32 yrs, mean donor age was 37 yrs. 4 patients had post operative hematuria, out of whom 2 developed clot anuria, 2 patients developedlymphocele, 1 had urine leak (anastomotic dehiscence), 1 had surgical site infection (SSI) requiring split thickness skin grafting, 3 developed ureteric stenosis, 7 developed Transplant Renal Artery Stenosis (TRAS). Conclusion: Early identification of urologic complications is required for preservation of optimal graft function.