[Comparative study of ureteral anastomosis with or without double-J catheterization in renal transplantation].
OBJECTIVE
To analyze the impact of the use of the routine double-J stent in the incidence of urological complications, like fistula, stenosis, ureteral obstruction and urinary tract infection.


METHODS
A retrospective study was conducted on two groups of patients: 28 without double-J stent and 28 with it. We reviewed urological complications: stenosis, fistula and obstruction. We paid special attention to urinary tract infection and other inherents complications to the use of double-J stents.


RESULTS
A patient from the double-J stended group (3.6%) developed a urinary fistula and there were no obstructions. 13 patients (46.6%) had a positive urinary culture in the first month post RT. Two urinary fistulas and 4 obstructions were developed in the non-stended group. Six major complications of the urinary tract. 14 patients (50%) had a positive urinary culture in the first month post RT.


CONCLUSIONS
The use of double-J stent across uterovesical anastomosis decreases the post-RT ureteral complications. Stent placement does not increase the risk of urinary tract infection in the early post-RT.
Briones Mardones
G
G
Servicio de Urología, Hospital Ramón y Cajal, Madrid.
Burgos Revilla
F J
FJ
Pascual Santos
J
J
Marcen Letosa
R
R
Pozo Mengual
B
B
Arambarri Segura
M
M
Fernández Fernández
E
E
Escudero Barrilero
A
A
Ortuño Mirete
J
J
D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D004867:Equipment Design; D005260:Female; D006801:Humans; D015994:Incidence; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D014513:Ureter / Q000601:surgery*; D014546:Urinary Catheterization / Q000295:instrumentation
Estudio comparativo entre anastomosis ureteral con o sin cateterización con doble j en trasplante renal.