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Renal ultrasound showing (a) hydronephrosis of the lower pole of the transplanted kidney.
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Imaging revealed hydronephrosis of the transplant kidney (Fig. 1).
Retrograde pyelography demonstrates a normal upper pole moiety (A), and antegrade pyelography shows a hydronephrotic lower pole moiety with no evidence of drainage - the distal ureter ends in a blind pouch (B).
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In May 2016, she had antegrade and retrograde pyelography, and we discovered a complete duplicated transplanted system (Fig. 2).
The joint procedure between Urology and IR - creation of the ureterocystostomy. The RF guide wire is advanced through a catheter to the distal end of the blind ending ureter, and the cystoscope is used to help direct the passage of the wire (A). The RF wire has successfully created a new channel and is now within the bladder (B). At the end of the case, there was successful placement of an NU stent (C).
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In July of 2016, Urology and Interventional Radiology (IR) performed a joint case - cystoscopy and antegrade RF guide wire creation of a ureterocystostomy (Fig. 3).