Lymphocele after Renal Transplantation: A Contemporary Review and a Modern Approach for Prevention and Treatment Volume 3 - Issue 1

Ali Bourgi*¹, Sleiman Merhej², Flavio Ordones³ and Elias Ayoub⁴

• ¹Department of Urology, Hospital Français du Levant, Lebanon
• ²Professor of Urology, Saint Joseph university, Lebanon
• ³Department of urology,São Paulo State University - UNESP, Brazil
• ⁴Department of Urology, Lebanese Geitaoui university Hospital, Lebanon

Received: February 08, 2021;   Published: February 18, 2021

Corresponding author: Ali Bourgi, Hopital Français du Levant, Lebanon

DOI: 10.32474/JUNS.2021.03.000155

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Abstract

A lymphocele is a common finding after renal transplantation. The majority of patients are asymptomatic. However, once a lymphocele has become symptomatic, this condition has to be treated. Lymphoceles may originate either from the lymphatic system of the recipient or the transplanted kidney. The most sensible measures to prevent their occurrence therefore seems to be to restrict the transplant bed to the smallest permissible level with careful ligature of the lymphatic vessels in the area of the kidney hilum.

Therapy of a lymphocele after renal transplantation should commence with minimally invasive measures and continue with invasive procedures only if these are unsuccessful, namely, puncture and drainage then sclerotization, and then laparoscopic or open marsupialization.

Keywords: Lymohocele; kidney; transplantation; recipient

Abstract| Introduction| Etiologies and surgery related factors| Diagnosis and Clinical Aspects| Prevention| Treatment| Conclusions| References|