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KMID : 0882420080740050556
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Korean Journal of Medicine
2008 Volume.74 No. 5 p.556 ~ p.560
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Successful treatment of vesicoureteral reflux by ureteroureterostomy in renal transplant recipients
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Park Min-Kyong
Chu Eun-Ho
Ahn Seo-Hee
Choi Bum-Soon
Yang Chul-Woo
Kim Yong-Soo
Bang Byung-Kee
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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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KEYWORD
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Kidney transplantation, Vesicoureteral reflux, Ureteroureterostomy
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