Mini-percutaneous in transplanted kidney – case report
DOI:
https://doi.org/10.11606/issn.1679-9836.v105i3e-240266Keywords:
Nephrolithiasis, Kidney transplantation, Nephrolithotomy, PercutaneousAbstract
Introduction: The incidence of de novo lithiasis after kidney transplantation is low. Patients usually do not report pain due to the absence of innervation of the organ, which can result in a late diagnosis. Minimally invasive percutaneous nephrolithotomy (mini-NLPC) is one of the options that can be used in the therapeutic arsenal for the treatment of this disease. We present a case of mini-NLPC in a kidney transplant patient. Case presentation: Patient with a 1.5 cm non-obstructive stone in the kidney graft underwent mini-NLPC (16Fr), performed in two stages due to bleeding, with total removal of the stone. The patient presented with urinary tract infection in the postoperative period, maintained graft function in the follow-up. Conclusion: Mini-NLPC is a therapeutic option indicated for stones ≥15 mm, with the advantage of reducing bleeding, damage to the renal parenchyma and postoperative pain, however, it may require a longer procedure time, which increases the risk of infection.
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References
1. Harraz AM, Zahran MH, Kamal AI, El-Hefnawy AS, Osman Y, Soliman SA, et al. Contemporary Management of Renal Transplant Recipients With De Novo Urolithiasis: A Single Institution Experience and Review of the Literature. Exp Clin Transplant. 2017;15(3):277–81. Doi: 10.6002/ect.2016.0094
2. Boissier R, Rodriguez-Faba O, Zakri RH, Hevia V, Budde K, Figueiredo A, et al. Evaluation of the Effectiveness of Interventions on Nephrolithiasis in Transplanted Kidney. Eur Urol Focus. 2023;9(3):491–9. Doi:10.1016/j.euf.2022.11.019
3. Cerrato C, Jahrreiss V, Nedbal C, Ripa F, Marco V, Monga M, et al. Percutaneous Nephrolithotomy for De Novo Urolithiasis After Kidney Transplantation: A Systematic Review of the Literature. J Endourol. 2024;38(6):536–44. Doi:10.1089/end.2023.0398
4. Lo CYZ, Chong D, Sjariffudin IF, Chong TW, Lu Y. Percutaneous nephrolithotomy for adult renal transplant de novo graft lithiasis: a single center analysis and systematic review of the literature. World J Urol. 2024;42(1):373. Doi:10.1007/s00345-024-05079-x
5. Yuan H jia, Yang D dong, Cui Y shan, Men C ping, Gao Z li, Shi L, et al. Minimally invasive treatment of renal transplant nephrolithiasis. World J Urol. 2015;33(12):2079–85. Doi:10.1007/s00345-015-1549-9
6. Eslahi A, Salehipour M, Hosseini MM, Ahmed F, Hosseini SH, Ghafari S. Mini-percutaneous nephrolithotomy via ultrasound guidance in transplanted kidney: a report of two cases. Pan African Med J. 2022;41. Doi: 10.11604/pamj.2022.41.333.33169
7. Gupta K, Kot KL, Raskolnikov D, Chalouhy C, Small A. V02-04 MINI-PCNL FOR TRANSPLANT NEPHROLITHIASIS. J Urol. 2023;209(Supplement 4). Doi: 10.1097/JU.0000000000003232.04
8. Sharif RAH, Jawad NR. Complications of mini-percutaneous nephrolithotomy and standard percutaneous nephrolithotomy: A comparative study. Med J Babyl. 2023;20(3):608–13. Doi: 10.4103/MJBL.MJBL_582_23
9. He Z, Li X, Chen L, Zeng G, Yuan J. Minimally invasive percutaneous nephrolithotomy for upper urinary tract calculi in transplanted kidneys. BJU Int. 2007;99(6):1467–71. Doi: 10.1111/j.1464-410X.2007.06768.x
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Copyright (c) 2026 Dr João Pedro Barretto de Andrade, Dr Lenilson Prates da Silva, Dr. João Leandro Rocha Vieira, Dr Bruno Falcão Santos
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