Suprapubic cystostomy during renal transplantation in a patient with a urethral stricture after hypospadias surgery: A case report.

Abstract

INTRODUCTION:

Renal transplantation often causes polyuria, and a Foley catheter is typically placed after transplantation. A urethral stricture often makes it difficult to insert a normal diameter urethral catheter.

CASE PRESENTATION:

We report on the case of a 16-year-old adolescent male with a history of hypospadias surgery who underwent a cystostomy during renal transplantation. A cystostomy was placed during transplantation because of stricture of the pendulous urethra. Urine leakage into the retroperitoneum occurred after cystostomy catheter removal. An 8-Fr urethral catheter was placed, and urine was aspirated to prevent drainage failure. Voiding cystourethrography performed after 2 weeks showed that there was no leakage. After that, the patient had no trouble with urination.

CONCLUSION:

A cystostomy may be one strategy for renal transplantation patients with a urethral stricture. Urine leak can occur because of the delay in wound healing caused by immunosuppressive therapy. Therefore, cystostomy management strategies should be considered carefully.

• Authors: Shohei Kawaguchi, Yoshifumi Kadono, Takahiro Nohara, Yuki Kato, Renato Naito, Satoko Urata, Kazufumi Nakashima, Kazuyoshi Shigehara, Atsushi Mizokami
• Journal: IJU case reports (IJU Case Rep) Vol. 2 Issue 2 Pg. 77-79 (Mar 2019) ISSN: 2577-171X [Electronic] Australia
• PMID: 32743378 (Publication Type: Case Reports)
• Copyright: © 2019 The Authors. IJU Case Reports published by John Wiley & Sons Australia, Ltd on behalf of the Japanese Urological Association.