Techniques of ureteric reimplantation in kidney transplantation and its related urological complications.
Two common techniques of ureteric reimplantation for kidney transplantation, the Politano-Leadbetter and the extravesical ureteroneocystostomy are described in detail. Correct techniques of donor ureter harvesting, appropriate method of reimplantation and judicious use of double J stent are also emphasised so as to reduce the urological complications which occurred in about 7% to 15% in most series. More than 90% of urological complications are due to urinary fistulae and ureteric obstruction which carry a significant morbidity and mortality. The causation, diagnosis and management of these complications are reviewed. Early diagnosis and early aggressive surgical treatment is the key to a successful outcome.
Tan
E C
EC
Department of Surgery, National University Hospital, Singapore.
Lim
S M
SM
Rauff
A
A
D003559:Cystostomy / Q000009:adverse effects / Q000379:methods; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects / Q000379:methods*; D011183:Postoperative Complications / Q000209:etiology*; D012092:Replantation / Q000009:adverse effects / Q000379:methods*; D015607:Stents; D014513:Ureter / Q000601:surgery*; D014570:Urologic Diseases / Q000209:etiology*