title: Long-term outcome in renal transplantation with terminal cutaneous ureterostomy.
abstract: We have reviewed the complications and follow-up in 6 patients who underwent kidney transplantation with cutaneous ureterostomy. Four patients had tuberculosis, 1 myelomeningocele and another congenital stenosis of the posterior urethra. Cutaneous ureterostomy was performed by suturing the edges of the distal end of the ureter to the skin. The mean follow-up was 40.6 months (range 2-105). The patient and graft survival rates were 83.3% and 66.6% respectively during the 249 months of total follow-up. Significant bacteriuria and leukocyturia were constantly present and the incidence of urinary infection was 3.1 episodes/patient/year. The early complications of the stoma were partial necrosis in 1 case and haematoma in another. The most frequent late complication was stomal stenosis requiring periodic dilatation. A plasma creatinine of 61.88 to 114.92 mumol/l reflected good long-term graft function in the remaining patients. Terminal cutaneous ureterostomy is a simple technique with good long-term results.
authors.affiliation: Department of Urology and Nephrology, Hospital Universitario Valdecilla, Santander, Spain.
authors.forename: M
authors.initials: M
authors.lastname: Prieto
authors.forename: M
authors.initials: M
authors.lastname: Sierra
authors.forename: A L
authors.initials: AL
authors.lastname: de Francisco
authors.forename: J A
authors.initials: JA
authors.lastname: Zubimendi
authors.forename: M G
authors.initials: MG
authors.lastname: Montesinos
authors.forename: J
authors.initials: J
authors.lastname: de la Torriente
authors.forename: M
authors.initials: M
authors.lastname: Arias
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D008591:Meningomyelocele / Q000601:surgery; D008875:Middle Aged; D011183:Postoperative Complications; D016896:Treatment Outcome; D014401:Tuberculosis, Urogenital / Q000601:surgery; D014519:Ureterostomy; D014525:Urethral Stricture / Q000601:surgery