Use of appendix for renal transplant urinary diversion after complete transplant ureteral necrosis: a 12-year follow-up.

A 15-year-old African American male patient with a history of posterior urethral valves ablated as a newborn and who also had formation of an appendicopyelostomy at 3 years of age due to transplant ureteral necrosis subsequently underwent cadaveric renal transplant. At the time, this was a novel method for salvaging urinary diversion for the renal allograft previously reported in 2003. He most recently presented to Arkansas Children's Hospital for transplant rejection secondary to nonadherence with medications. We present an interval case report of a novel technique allowing a complicated cadaveric renal transplant to survive for 12 years.