DIAGNOSIS OF URINARY LEAKAGE IN RENAL TRANSPLANT PATIENTS: ULTRASONOGRAPHIC, CLINICAL AND SCINTIGRAPHIC FINDINGS

Urinary leakage is a well-recognized complication of renal transplant surgery, which may lead to increased morbidity. In order to define clinical efficacy of renal scintigraphy in urinary leakages, we retrospectively reviewed 82 renal transplant patients with early scintigraphic exams in the current study. The clinical, scintigraphic and ultrasonographic findings were comparatively evaluated. Seven sequential radionuclide studies in five patients showed urinary leakage, however; ultrasonography could be detected this pathology in only one patient. Scintigraphic evaluation was found to he false positive due to abdominal ascites in one patient. Our results show that, Tc99m DTPA dynamic renal scintigraphy seems to be an easy and safe method to detect urinary leakage in renal transplantation patients.