Just had 2nd kidney transplant..first one lasted 34 years.  The surgeon attached my donated kidney ureter to my existing ureter of my native born kidney and not the ureter is scarred and narrowed.  they put in nephrostomy tube and creatinine is rising.  I dont understand why they didnt attach the transplanted ureter directly to my bladder.  What do you think?
Hello and welcome to Chat Doctor. As a Urologist and transplant surgeon, i can understand your anxiety. Your doubt is very genuine. That corrective surgery can be done even now. The main reason for nephrology, is to relieve obstruction to the kidney. The cause for the obstruction, is the narrowing in the ureter below. Creatinine starts rising, when the obstruction and failure becomes severe. This could be avoided, by placing ureter to bladder, as is done routinely. As to why it was not done, only the surgeon can answer. Discuss with him. Chat Doctor.  Manga.