Temporary small bowel interposition for urinary drainage after partial necrosis of the renal graft pelvis following living related renal donation.

SINCE THE ADVENT of kidney transplantation, urological complications have been a major concern. The published incidence varies between 2% and 33% in different series. Due to the limited arterial perfusion of the ureter exclusively from the renal vessels following nephrectomy, an ischemic injury to the ureter commonly leads to necrosis with consecutive urinary leakage of the ureteroneocystostomy or to fibrosis resulting in urinary obstruction. We report a case of corrective surgery to restore urinary continuity using a vascularized intestinal segment in a modified Monti procedure after partial necrosis of the graft pelvis following living related renal transplantation.