case_images: PMC9896131_01
case_images: Nephrostogram showing complete obstruction at the level of the renal pelvis (indicated by the arrow) with no contrast passing to the ureter.
case_images: cureus-0015-00000033335-i01.jpg
case_images: PMC9896131_01_cureus-0015-00000033335-i01.jpg
case_images: FIG1
case_images: The nephrostogram images revealed fibrosis of the entire transplanted ureter (Figure 1). Nephrostogram (Figure 1) showed complete occlusion at the level of the renal pelvis and no contrast passing to the ureter.
case_images: Nephrostogram performed intraoperatively showing the contrast delineating the extra-anatomical stent and filling the bladder. The arrow marks the approximate location of the exit from the kidney.
case_images: cureus-0015-00000033335-i02.jpg
case_images: PMC9896131_01_cureus-0015-00000033335-i02.jpg
case_images: FIG2
case_images: The distal end was delivered to the bladder (Figure 2).
case_images: Prior to skin closure, the Detour stent was placed medially to avoid the scars and fibrotic tissues surrounding the renal graft.
case_images: cureus-0015-00000033335-i03.jpg
case_images: PMC9896131_01_cureus-0015-00000033335-i03.jpg
case_images: FIG3
case_images: Cystotomy was closed securely around the stent anchoring using the outer PTFE (polytetrafluoroethylene) tube of the Detour using interrupted polydioxanone sutures (Figure 3).