Open Access Zomorrodi et al., 2:1 http://dx.doi.org/10.4172/scientificreports.615 Case Report Open Access Open Access Scientific Reports Scientific Reports Open Access Volume 2 • Issue 1 • 2013 Keywords: Stricture urete; Estenosis ureter; Ureter implantation; Allograf ureter; Kidney transplant complication Introduction Te kidney transplant is the best option for the chronic renal failure patient because afer the kidney replacement treatment, the life style and quality of life will be like normal [1-3]. Te surgical complications of kidney transplant are two kinds including: urologic and vascular. Te urologic complication is the most complication [4,5]. Te urologic complication is important because it associates with high rate of morbidity and mortality and sometimes grafs loss [6]. Te incidence of urologic complication has been reported in the range of 10% to 25%, and the mortality due to the urologic complication in the range of 20% to 30% has been reported [7,8]. At the beginning of kidney transplant mortality 50% because of urologic complication has been reported [9-11]. Te urologic complication is almost technical [6]. In our kidney transplant center which has experience of more than 20 years, we investigate the urologic complications of one hundred kidney transplants from 2008-2011. Materials and Methods One hundred kidney recipients (51 males and 49 females) with the age in the range of 15-60 years 5 patients for second time and 95 patients for frst time have been operated for kidney transplantation, in all of them extra peritoneal space at right side of iliac (for patients a frst time referred for kidney transplant) and lef iliac space (for patients that second time referred for kidney transplantation) have been prepared. In all of patients for renal artery anastomosis at the frst internal iliac artery has been selected and if it has not been in good condition, alternatively the external iliac artery has been selected. Also if the right side of the kidney donor was selected for transplant the external iliac artery of the recipient has been selected for renal artery anastomosis. Te renal vein of the allograf has been anastomosed to the external iliac vein of the kidney recipient. Prolen third for anastomosis of the vessels has been used (5-o for vein and six-o for artery). For anastomosing of allograf ureter, afer making spatula larger *Corresponding author: Zomorrodi A, Professor, Department of Urology, Kidney transplant, Imam Reza Hospital, Tabriz Medical Science University, Tabriz, Iran, E-mail: dr_afshar@hotmail.com Received March 21, 2012; Published January 29, 2013 Citation: Zomorrodi A, Farshi A, Zomorrodi S (2013) The Urologic Complications in One Hundred Live Unrelated Allograft Kidney Recipients. 2: 615 doi:10.4172/ scientifcreports.615 Copyright: © 2013 Zomorrodi A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Abstract Kidney replacement is the best choice for treatment of chronic renal failure patient. In this modality treatment, the life style of the patient will be normal. Along with the life style, the fertility and sexual activity of the patient will be normal. The most common surgical complication of the kidney transplant is urologic complication. The urologic complications in the kidney transplant are associated with high rate of mortality and morbidity. The success rate of the kidney transplant is center dependent and it depends on the experience of the surgeon. We describe the urologic complications of the kidney transplant center (which has the kidney transplant experience of more than 20 years) during last three years. Methods: In one hundred unrelated live donor kidney recipients, 51 males and 49 females, their age ranging 15-60 years, all of them have been operated since 2008-2012, the urologic complications have been evaluated. They have been followed for at least 6 months post operation. Results: In 100 kidney transplant recipients, there were no urologic complications including urine leak, ureter stricture and urinary infection. Conclusions: Regarding the results of urologic complication studies at this center, it may be useful for considering reducing urologic complications. The Urologic Complications in One Hundred Live Unrelated Allograft Kidney Recipients Zomorrodi A*, Farshi A and Sahar Zomorrodi Department of Urology, Kidney Transplant, Imam Reza Hospital, Tabriz Medical Science University, Tabriz, Iran than 2 cm at allograf ureter (Figure 1) with method of modifed Lich extravesical, the ureter has been anastomosed to the lateral side of bladder with third of monocryl 4-o (Figures 2-4). Detrusor has been approximated over the anastomosis with chromoic. Before fnishing the anastomosis stent (DJ double J) has been inserted and afer Figure 1: The large spatula at the posterior of the allograft ureter more than 2 cm.