Urethral strictures in kidney transplant recipients seriously jeopardize graft function, causing urinary stasis and infections. We report a 54-year-old male kidney transplant recipient with recurrent bulbar urethral stricture, multiple failed urethrotomies, and long-term urinary devices dependency. Recurrent UTIs and graft dysfunction prompted Allium® bulbar stent placement. At 12 months, uroflowmetry improved (Qmax from 7.9 to 9 mL/s), post-void residual dropped (100 mL to 30 mL), and IPSS decreased (25 to 9). Graft function improved (creatinine 3 mg/dL). No hospitalizations occurred. This case suggests Allium® bulbar urethral stent may offer a safe, minimally invasive alternative in high-risk kidney transplant recipients.
Urology case reports. 2026 Mar 04*** epublish ***
Nicola Schiavone, Marco Finati, Anna Ricapito, Oscar Selvaggio, Giuliano Ciavotta, Dario Troise, Silvia Mercuri, Luciana Antonia Cirolla, Ugo Giovanni Falagario, Giuseppe Carrieri, Barbara Infante, Gaetano Valerio Palella
Department of Urology and Renal Transplantation, University of Foggia, Foggia, Italy., Nephrology, Dialysis and Transplantation Unit, Advanced Research Center on Kidney Aging (A.R.K.A.), Department of Medical and Surgical Sciences, University of Foggia, 71122, Foggia, Italy.