| Successful treatment of vesicoureteral reflux by ureteroureterostomy in renal transplant recipients |
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Min Kyoung Park, Eun Ho Chu, Soe Hee Ann, Bum Soon Choi, Chul Woo Yang, Yong Soo Kim, Byung Kee Bang |
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경희대학교 의과대학 순환기내과학교실 |
| 증례 : 신이식환자에서 요관요관문합술을 이용한 방광요관역류의 성공적 치료 |
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박민경, 추은호, 안서희, 최범순, 양철우, 김용수, 방병기 |
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| Abstract |
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Recurrent urinary tract infection due to vesicoureteral reflux is one of the important medical complications in renal transplant recipients. Injection of macroplastique is recommended to reduce the vesicoureteral reflux, but it can result in poor responses. Ureteroureterostomy is an invasive method, but it is advisable in patients with higher grades of vesicoureteral reflux that do not respond to medical or macroplastique injection. We here report on two cases of successful treatment of vesicoureteral reflux by ureteroureterostomy. These patients experienced repeated episodes of acute pyelonephritis in spite of long-term antibiotic treatment and repeated macroplastique injection. No more urinary tract infection was observed after ureteroureterostomy. We recommend ureteroureterostomy in renal transplant recipients who suffer with repeated acute pyelonephritis due to vesicoureteral refulx.
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| Key Words:
Kidney transplantation; Vesicoureteral reflux; Ureteroureterostomy |
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