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Extraanatomic stents for transplant ureteric stenosis

Departments of ¹ Urology, ² Renal Medicine and ³ Radiology, Hammersmith Hospitals NHS Trust, London, UK

Correspondence: Mr Jonathon Olsburgh, Urology, Hammersmith Hospital, Du Cane Road, London W12 0HS, UK. E-mail: jonnyolsburgh{at}hotmail.com.

Surgical and standard endourology options are limited in transplant patients with severe ureteric stenosis, particularly when access to the transplant renal pelvis is limited. The use of a silicone-polytetrafluoroethelene (PTFE)-bonded extraanatomic urinary tract stent for urinary tract drainage is described in two patients. This technique of ureteric reconstruction in renal transplantation may be considered when standard approaches have failed. It appears to be safe when performed by radiologists and urologists with expertise in percutaneous renal access.