head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2022, vol. 28, issue1
Subject Area: Medicine
DOI: 10.5272/jimab.2022281.4254
Published online: 28 February 2022

Original article
J of IMAB. 2022 Jan-Mar;28(1):4254-4259
Vladislav Mladenov1ORCID logo Corresponding Autoremail, Ivan Lilianov1ORCID logo, Boris Botev1ORCID logo, Valeria Hadjiiska2ORCID logo, Andrian Tonev1ORCID logo,
1) Clinic of Urology, UMHAT "Alexandrovska", Medical University - Sofia, Bulgaria.
2) Clinic of Nuclear Medicine, UMHAT "Alexandrovska", Medical University - Sofia, Bulgaria.

Introduction: Kidney transplantation is an established surgical method for the treatment of end-stage chronic renal failure with good long-term results. Despite the continuous progress and development of transplantology, a number of postoperative surgical and urological complications still occur today, which could compromise the success of this operative method.
Purpose: All possible surgical and urological complications in the first 60 days after kidney transplantation were followed up.
Materials and Methods: This study is based on a retrospective analysis of the disease history of 35 patients who underwent kidney transplantation at the Clinic of Urology at the UMHAT "Alexandrovska" for the period from 02.2018 to 12.2019.
Results: Early postoperative complications were found in 46% of the observed transplant patients. Urological complications were found in 26% of them.
Discussion: The incidence of urinary tract infections in transplanted patients was 26%. During the follow-up period, there were no cases of urinary retention, stricture of the ureter and urinoma in the group of patients. The incidence of surgical complications in the transplanted patients was 29%. The incidence of postoperative hematomas was 23%. Postoperative lymphocele was diagnosed in one patient, which shows a complication rate of 3% for this diagnosis. The incidence of surgical wound infection in transplanted patients during the follow-up period was 3%.
Conclusions: Our results show that the frequency of the different early postoperative urological and surgical complications correspond to the literature data from other transplant centers. They show that the transplantation activities in the Clinic of Urology in UMHAT "Alexandrovska" correspond to the world standards.

Keywords: urological, surgical, complications, transplantation, donor,

pdf - Download FULL TEXT /PDF 504 KB/
Please cite this article as: Mladenov V, Lilianov I, Botev B, Hadjiiska V, Tonev A. Kidney Transplantation – Early Postoperative Complications. J of IMAB. 2022 Jan-Mar;28(1):4254-4259.
DOI: 10.5272/jimab.2022281.4254

Corresponding AutorCorrespondence to: Vladislav Mladenov, DM, PhD, Clinic of Urology, UMHAT "Alexandrovska" Sofia; 1, "Georgi Sofiiski" Str., 1431 Sofia, Bulgaria; E-mail: dr.vl.mladenov@gmail.com

1. de Castro Rodrigues Ferreira F, Cristelli MP, Paula MI, Proença H, Felipe CR, Tedesco-Silva H, et al. Infectious complications as the leading cause of death after kidney transplantation: analysis of more than 10,000 transplants from a single center. J Nephrol. 2017 Aug;30(4):601-606. [PubMed]
2. Ooms L, IJzermans J, Voor In 't Holt A, Betjes M, Vos M, Terkivatan T. Urinary Tract Infections After Kidney Transplantation: A Risk Factor Analysis of 417 Patients. Ann. Transplant. 2017 June 30;22, 402–408. [PubMed]
3. Burmeister D, Noster M, Kram W, Kundt G, Seiter H. [Urological complications after kidney transplantation] [in German]. Urologe A. 2006 Jan;45(1):25-31. [PubMed]
4. Gonzalo Rodriguez V, Rivero Martinez MD, Trueba Arguinarena J, Calleja Escudero J, Muller Arteaga C, Fernandez del Busto E. [Diagnosis and treatment of urological complications in kidney transplants. ] [in Spain]  Actl Urol Esp. 2006 Jun;30(6): 619-625.
5. Hernandez D, Rufino M, Armas S, Gonzalez A, Gutierrez P, Barbero P, et al. Retrospective analysis of surgical complications following cadaveric kidney transplantation in the modern transplant era. Nephrol Dial Transplant. 2006 Oct;21(10):2908-15. [PubMed]
6. Dinckan A, Tekin A, Turkyilmaz S, Kocak H, Gurkan A, Erdogan O, et al. Early and late urological complications corrected surgically following renal transplantation. Transpl Int. 2007 Aug;20(8):702-7. [PubMed]
7. Nie ZL, Li QS, Jin FS, Zhang KQ, Zhu FQ, Huo WQ, et al. [Urological complications in 1223 kidney transplants] [in Chinese] Zhonghua Yi Xue Za Zhi. 2009 May 12;89(18):1269-71. [PubMed]
8. Streeter EH, Little DM, Cranston DW, Morris PJ. The urological complications of renal transplantation: a series of 1535 patients. BJU Int. 2002 Nov;90(7):627-34. [PubMed]
9. Srivastava A, Sinha T, Madhusoodanan P, Karan SC, Sandhu AS, Sethi GS, et al. Urological complications of live related donor renal transplantation: 13 years' experience at a single center. Urol Int. 2006 Jul;77(1):42-45. [Crossref]
10. Parada B, Figueiredo A, Mota A, Furtado A. Surgical complications in 1000 renal transplants. Transplant Proc. 2003 May;35(3):1085-6. [PubMed]
11. Perez Fentes DA, Blanco Parra M, Toucedo Caamano V, Romero Burgos R, Punal Rodriguez JA, Varo Perez E. [Surgical complications after kidney transplantation. Research based on 185 cases.] [in Spain] Actas Urol Esp. 2005; 29(6):578-586.
12. Kocak T, Nane I, Ander H, Ziylan O, Oktar T, Ozsoy C. Urological and surgical complications in 362 consecutive living related donor kidney transplantations. Urol Int. 2004 Apr;72(3):252-256. [Crossref]
13. Bischof G, Rockenschaub S, Berlakovich G, Langle F, Muhlbacher F, Fugger R, et al. Management of lymphoceles after kidney transplantation. Transpl Int. 1998 Jul;11(4):277-280. [Crossref]
14. Goel M, Flechner SM, Zhou L, Mastroianni B, Savas K, Derweesh I, et al. The influence of various maintenance immunosuppressive drugs on lymphocele formation and treatment after kidney transplantation. J Urol. 2004 May;171(5):1788-92. [PubMed]
15. El-Mekresh M, Osman Y, Ali-El-Dein B, El-Diasty T, Ghoneim MA. Urological complications after living-donor renal transplantation. BJU Int. 2001 Mar;87(4):295-306. [PubMed]
16. El Hag ME, El Imam M, Omran M, Idris M, Elsheikh A, Elsabig M, et al. Renal transplantation Gezira hospital for renal disease and surgery (GHRDS). Sudan J Public Health. 2009 Apr;4(2):265-274.
17. de Freitas RAP, de Lima ML, Mazzali M. Early Vascular Thrombosis After Kidney Transplantation: Can We Predict Patients at Risk? Transplant Proc. 2017 May;49(4):817-820. [PubMed]
18. Garg N, Rennke HG, Pavlakis M, Zandi-Nejad K. De novo thrombotic microangiopathy after kidney transplantation. Transplant Rev (Orlando). 2018 Jan;32(1):58-68. [PubMed]
19. Kim SM, Choi JH, Son MJ, Rim H, Shin HS. Is Body Mass Index a Significant Independent Risk Factor for Graft Failure and Patient Death in the Modern Immunosuppressive Era? Transplant Proc. 2020 Dec;52(10):3058-3068. [PubMed]
20. Durinka JB, Parsikia A, Karipineni F, Campos S, Khanmoradi K, Zaki R, et al. Association Between Delayed Graft Function and Incisional Hernia after Renal Transplant. Exp Clin Transplant. 2017 Feb;15(1):27-33. [PubMed].

Received: 24 November 2021
Published online: 28 February 2022

back to Online Journal