Postoperative cystography is unnecessary following renal transplantation with parallel incision extravesical ureteroneocystostomy.
OBJECTIVE
To determine the need for postoperative cystography following extravesical ureteroneocystostomy for renal transplantation.


METHODS
The clinical courses of 200 consecutive kidney transplant recipients who underwent urinary tract reconstruction by parallel incision extravesical ureteroneocystostomy were reviewed.


RESULTS
Five of the 200 recipients did not have the study because of early mortality (1) or medical problems (4). Grade I vesicoureteral reflux was present in 5 (3%) of 182 unstented allograft ureters and 5 of 13 stented allograft ureters. Two patients (1%) underwent repeat ureteroneocystostomy, one for obstruction and one for extravasation. The cystograms were normal in both patients.


CONCLUSIONS
Routine retrograde cystography is unnecessary following urinary tract reconstruction by parallel incision extravesical ureteroneocystostomy.
Department of Surgery, Oregon Health Sciences University, Portland 97201-3098, USA.
M J
MJ
Conlin
M J
MJ
Lemmers
J M
JM
Barry
D003559:Cystostomy / Q000379:methods*; D006801:Humans; D016030:Kidney Transplantation; D011182:Postoperative Care; D011859:Radiography; D014513:Ureter / Q000601:surgery*; D001743:Urinary Bladder / Q000000981:diagnostic imaging*