Post transplant ureteric stenosis causing allograft hydronephrosis and calyceal rupture: Salvage side to side ureteroneocystostomy

A 26 years old lady with End Stage Renal Disease who received a cadaveric renal trans­plant, presented with ureteral stenosis as well as calyceal rupture due to hydronephrosis that was unresponsive to balloon dilation and the allograft was salvaged by a side to side ureteroneo­cystostomy. The symptoms and renal function improved and patency of the side to side uretroneo­cystostomy was confirmed post operatively and also at seventeen month follow-up. It may be rea­sonable to treat post-transplant ureteral stenosis resistant to balloon dilation with this technique. However, long-term follow-up is required to evaluate the efficacy of this treatment.