ABDUL KHALİQUE, HAMZA BASHİR, SHARİQ BİN YOUSUF, SHUAH ULLAH, TANZEEL UR REHMAN, BUX ALİ, TAHİR AZİZ, ZİAD SOPHİE, ADEEB UL HASSAN RİZVİ
Experimental and Clinical Transplantation - 2025;23(5):379-382
Kidney transplantation offers superior outcomes compared with dialysis but requires alternative approaches in complex cases. We present a 24-year-old male patient with end-stage renal disease, neurogenic bladder, and iliac vessel thrombosis who underwent orthotopic kidney transplant with concurrent native nephrectomy. Despite challenges, including postopera-tive double J stent migration requiring reexploration, the patient achieved stable graft function at 14-month follow-up. This case highlights the feasibility of orthotopic transplant in high-risk patients when performed at experienced centers. Successful outcomes depend on meticulous surgical technique and multidisciplinary management.
