A Case of Recurrent Urolithiasis after Renal Transplantation / 대한신장학회잡지

ABSTRACT

Urolithiasis is uncommon and one of the late complication of kidney transplantation. Urolithiasis is reported in approximately 1% of all renal allografts. Nonabsorbable suture material, recurrent urinary tract infection and persistent secondary hyperparathyroidism are knowned as the major predisposing factors. The clinical presentations have differd from that in the nontrans plant patient because of cutting off the nervous system and they usually manifested renal failure. We experienced a case of recurrent urolithiasis after renal transplantation. The bladder stone was discovered at the site of ureteroneocystostomy site by cystoscopy 4 months after and the stone was removed by cystolitholapaxy. The stone analysis revealed calcium stone. One month later, ureteropelvic stone recurred and ESWL was done. No further calculi have developed during observational period and allograft function remains satisfactory.