{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:09:43Z","timestamp":1787008183939,"version":"build-2736575974"},"reference-count":41,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Endourology"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction and Objective:<\/jats:title>\n                    <jats:p>Renal transplantation is the treatment for end-stage renal disease that offers better quality of life and survival. Among the possible complications that might affect allografts, urolithiasis might have severe consequences, causing acute kidney injury (AKI) or septic events in immunocompromised patients. Allograft stones might be treated with percutaneous nephrolithotomy (PCNL). The aim of this Cochrane style review was to assess the safety and efficacy of PCNL in patients with renal transplant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A comprehensive search in the literature was performed including articles between July 1982 and June 2023, with only English original articles selected for this review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The final review encompassed nine articles (108 patients). The mean age was 46.4\u2009\u00b1\u20098.7 years, with a male:female ratio of 54:44. The average time from transplantation to urolithiasis onset was 47.54\u2009\u00b1\u200923.9 months. Predominant symptoms upon presentation were AKI (32.3%), followed by urinary tract infection and fever (24.2%), and oliguria (12.9%). The mean stone size was 20.1\u2009\u00b1\u20097.3\u2009mm, with stones located in the calices or pelvis (41%), ureteropelvic junction (23.1%), or proximal ureter (28.2%). PCNL (22F\u201330F) was more frequently performed than mini-PCNLs (16F\u201320F) (52.4%\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      47.6%). Puncture was guided by ultrasound (42.9%), fluoroscopy (14.3%), or both (42.9%). The stone-free rate (SFR) and complication rates were 92.95% (range: 77%\u2013100%) and 5.5%, respectively, with only one major complication reported. Postoperatively, a ureteral stent and nephrostomy were commonly placed in 47%, with four patients needing a second look PCNL. During an average follow-up of 32.5 months, the recurrence rate was 3.7% (4\/108), and the mean creatinine level was 1.37\u2009\u00b1\u20090.28\u2009mg\/dL.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>\n                      PCNL remains a safe and effective option in\n                      <jats:italic toggle=\"yes\">de novo<\/jats:italic>\n                      allograft urolithiasis, allowing to treat large stones in one-step surgery. A good SFR is achieved with a low risk of minor complications. These patients should be treated in an endourology center in conjunction with the renal or transplant team.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/end.2023.0398","type":"journal-article","created":{"date-parts":[[2024,3,28]],"date-time":"2024-03-28T04:45:06Z","timestamp":1711601106000},"page":"536-544","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Percutaneous Nephrolithotomy for\n                    <i>De Novo<\/i>\n                    Urolithiasis After Kidney Transplantation: A Systematic Review of the Literature"],"prefix":"10.1177","volume":"38","author":[{"given":"Clara","family":"Cerrato","sequence":"first","affiliation":[{"name":"Department of Urology, University Hospital Southampton NHS Trust, Southampton, United Kingdom."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria","family":"Jahrreiss","sequence":"additional","affiliation":[{"name":"Department of Urology, University Hospital Southampton NHS Trust, Southampton, United Kingdom."},{"name":"Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria."},{"name":"EAU Section on Urolithiasis (EULIS), Arnhem, The Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlotta","family":"Nedbal","sequence":"additional","affiliation":[{"name":"Department of Urology, University Hospital Southampton NHS Trust, Southampton, United Kingdom."},{"name":"Department of Urology, Universit\u00e0 Politecnica delle Marche, Ancona, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Ripa","sequence":"additional","affiliation":[{"name":"Department of Urology, University Hospital Southampton NHS Trust, Southampton, United Kingdom."},{"name":"Department of Urology, Fondazione IRCCS Ca\u2019 Granda Ospedale Maggiore Policlinico Milano, Milan, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincenzo De","family":"Marco","sequence":"additional","affiliation":[{"name":"Department of Urology, Azienda Ospedaliera Universitaria Integrata di Verona, Verona, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manoj","family":"Monga","sequence":"additional","affiliation":[{"name":"Department of Urology, University of California San Diego, San Diego, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2904-351X","authenticated-orcid":false,"given":"B.M.Z.","family":"Hameed","sequence":"additional","affiliation":[{"name":"Father Muller Medical College Hospital, Mangalore, Karnataka, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Kronenberg","sequence":"additional","affiliation":[{"name":"Hospital CUF Descobertas, Lisbon, Portugal."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7631-3108","authenticated-orcid":false,"given":"Amelia","family":"Pietropaolo","sequence":"additional","affiliation":[{"name":"Department of Urology, University Hospital Southampton NHS Trust, Southampton, United Kingdom."},{"name":"EAU Young Academic Urologists (YAU) Urolithiasis and Endourology Working Group, Arnhem, The Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0356-7697","authenticated-orcid":false,"given":"Nithesh","family":"Naik","sequence":"additional","affiliation":[{"name":"Manipal Institute of Technology, Manipal, Karnataka, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6248-6478","authenticated-orcid":false,"given":"Bhaskar K.","family":"Somani","sequence":"additional","affiliation":[{"name":"Department of Urology, University Hospital Southampton NHS Trust, Southampton, United Kingdom."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,6,1]]},"reference":[{"key":"e_1_3_5_2_2","unstructured":"U.K. Renal Registry 24th Annual Report Summary of the UKRR. 24th Annual Report-adults Summary of the UKRR 24th Annual Report-children and young people. 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