Endoscopic Treatment for Vesicoureteral Reflux in Recurrent Urinary Tract Infections in Kidney Transplant: Experience of One Center

Gomez Lujan, M.; Velarde, L.; Cruzalegui, C.; Berrios, C.; Sifuentes, E.; Gálvez, J.; Soto, H.; Castañeda, E.; Bazán, G.; Nakachi, A.; Chambi, M.; Medina, C.; Torres, A. · Universidad Peruana de Ciencias Aplicadas (UPC) (2018) · DOI: 10.1016/j.transproceed.2018.01.007

Resumen

Vesicoureteral reflux (VUR) after renal transplantation in adult patients has been reported. In renal transplant recipients, symptomatic urinary tract infection can cause high morbidity despite improved immunosuppressive and antibiotic treatment. In our country there have been few reported cases about use of copolymer of dextranomer and hyaluronic acid (DX-HA) injection in a renal transplant. We present 3 cases of recurrent or complicated infections with evidence of high-grade VUR, which were treated with DX-HA. Only 1 case had a partial remission; however, there were no episodes of urinary tract infection in 12 months of follow-up. Suburethral injection is an endoscopic treatment modality with low morbidity in our country.

Instituciones: Universidad Peruana de Ciencias Aplicadas