[Impact of the use of double J stents in renal transplantation on incidence of urologic complications and urinary infection].
OBJECTIVE
The authors evaluated the impact of systematic placement of a double J stent on urological complications and postoperative urinary tract infection.


METHODS
188 renal transplantations were performed between January 1991 and December 2001. All patients underwent Lich-Grégoire ureterovesical anastomosis. A double J stent was not used in one group (G1) of 110 patients and a double J stent was systematically inserted in another group (G2) of 78 patients and was removed after 3 weeks. Urine culture was performed in all patients.


RESULTS
11 patients of group 1 developed urinary fistula and one patient developed obstruction of the ureterovesical anastomosis. No urological complication was detected in group 2. The postoperative urinary tract infection rate was 47.2% in group 1 versus 48.7% in group 2.


CONCLUSIONS
Systematic double J stenting appears to decrease the incidence of urological complications after renal transplantation without increasing the incidence of postoperative urinary tract infection.
Derouich
Amine
A
Service d'Urologie, Hôpital Charles Nicolle, Boulevard 9 avril, 1006 Tunis, Tunisie. enima71@yahoo.fr
Hajri
Mokhtar
M
Pacha
Khaled
K
Ben Hassine
Lotfi
L
Chebil
Mohamed
M
Ayed
Mohsen
M
D000328:Adult; D004867:Equipment Design; D005260:Female; D006801:Humans; D015994:Incidence; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D012189:Retrospective Studies; D015607:Stents; D014552:Urinary Tract Infections / Q000453:epidemiology* / Q000209:etiology*