Stenting of the ureterovesical anastomosis in pediatric renal transplantation.
From January 1985 to July 1989, 36 children received a renal transplant at our hospital. Their ages ranged from 2 to 18 years. All patients had a standard neoureterocystostomy according to Lich-Grégoir. In the first 18 patients, no transanastomotic stent was placed. In the latter 18, a transanastomotic stent with or without suprapubic bladder drainage was performed. In the nonstented group, six severe urological complications occurred, two of which eventually resulted in loss of the transplant. In the stented group, only one severe urological complication occurred. No kidneys in this group were lost due to urological complications. The number of urinary tract infections in the nonstented group was the same as in the stented group.
Bergmeijer
J H
JH
Department of Pediatric Surgery, Sophia Children's Hospital, Rotterdam, The Netherlands.
Nijman
R
R
Kalkman
E
E
Nauta
J
J
Wolff
E D
ED
Molenaar
J C
JC
D000293:Adolescent; D000714:Anastomosis, Surgical / Q000009:adverse effects / Q000379:methods; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects / Q000379:methods*; D008297:Male; D012189:Retrospective Studies; D015607:Stents; D014513:Ureter / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery*; D014570:Urologic Diseases / Q000517:prevention & control*