[Transvesical ureteroneocystostomy: the assessment of vesicoureteral reflux in the kidney transplant].
In 51 heterotopic renal transplants performed in our setting, the continuity of the urinary tract was achieved by transvesical ureteroneocystostomy utilizing the Politano-Leadbetter and Paquin techniques. A retrospective study was conducted to determine the incidence of vesicoureteral reflux (VUR) in patients submitted to the foregoing techniques. Reflux was observed in only 1 (2.32%) of the 43 patients who were evaluated by voiding cystography. Urinary tract infection (UTI) was observed in 27 patients (62.7%). Of these, 5 (18.5%) had acute pyelonephritis. Most of the patients with no evidence of vesicoureteric reflux presented urinary tract infection (96.3%). The transvesical techniques achieved a low reflux rate. No difference was observed relative to the incidence of reflux for one or the other technique. No relationship could be established between VUR and UTI. Evaluation is warranted in patients with recurrent UTI that is refractory to antibiotic therapy or deterioration of renal function that cannot be ascribed to other causes.
Pinsach Elías
L
L
Servicio de Urología, Hospital Universitario de Badalona Germans Trais i Pujol, Universidad Autónoma de Barcelona, España.
Saladié Roig
J M
JM
Olazábal Zudaire
A
A
Lauzurica Valdemoros
R
R
Esteva Moreno
N
N
D000367:Age Factors; D016009:Chi-Square Distribution; D003559:Cystostomy / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D016030:Kidney Transplantation / Q000379:methods* / Q000706:statistics & numerical data; D011183:Postoperative Complications / Q000453:epidemiology / Q000517:prevention & control*; D012189:Retrospective Studies; D012737:Sex Factors; D016042:Transplantation, Heterotopic; D014547:Urinary Diversion / Q000379:methods* / Q000706:statistics & numerical data; D014552:Urinary Tract Infections / Q000453:epidemiology; D014718:Vesico-Ureteral Reflux / Q000453:epidemiology / Q000517:prevention & control*
Ureteroneocistostomía transvesical: valoración del reflujo vésicoureteral en el trasplante renal.