[Urinary diversions and intestinal grafts in renal transplantation in XXXX . Report of 8 cases].

@entity1 @entity101 @entity1494 @entity520 @entity2885 @entity340
In a series of 400 transplantations, 8 @entity1 presented a severe lesion of the lower urinary tract requiring an intestinal graft to divert the urine or to replace the useless bladder: 4 cases of @entity340 and 4 cases of @entity1494 . Four permanent urinary diversions and 4 @entity1494 , including 3 temporary diversions, were performed. The sigmoid colon was used in 5 cases and the ileum was used in 3 cases. The preparation of the intestinal graft was always performed prior to the transplantation. The uretero-intestinal anastomosis included an antireflux device in 3 of the 8 cases. There were no deaths in this series. Three occlusions and 2 lymphoceles occurred in the immediate post-transplantation period, but were corrected by re-operation. Two cases of calculi occurred in the long term, one of which required operation. Moderate stenosis of the renal artery in one case resulted in systemic @entity101 which was well controlled by medical treatment. An episode of acute @entity2885 resolved rapidly with antibiotic treatment. Two cases of @entity520 were corrected by salt supplementation. There was one case of early graft rejection on the 15th day and a delayed rejection after 18 months, leading to removal of the transplant. At the present time, 6 renal grafts function normally (75%) with a follow-up of 1 to 8 years.
