Urethritis/dysuria after simultaneous pancreas-kidney transplantation.

We evaluated the role of conservative treatment for urethritis and its complications after simultaneous pancreas-kidney (SPK) transplant. Twenty-six type I diabetic recipients with end-stage renal disease underwent SPK transplants with bladder exocrine drainage. Urethritis/ dysuria occurred in 4/26 (16%) of the patients. All cases resolved with conservative treatment that included Foley catheter and/or suprapubic cystostomy. Despite the frequency of this urological complication, none of the patients needed diversion of the exocrine drainage from the bladder to the intestine.