title: Urological complications after simultaneous renal and pancreatic transplantation.
abstract: OBJECTIVE
  To report the urological complications after simultaneous renal and pancreatic transplantation.
  
  
  METHODS
  Retrospective study.
  
  
  METHODS
  Teaching hospital, Italy.
  
  
  METHODS
  143 consecutive patients having simultaneous renal and pancreatic transplantation by one of three techniques. 33 segmental pancreas with duct occlusion, 77 whole pancreas with bladder diversion, and 33 enteric diversion with systemic (n = 26) or portal venous drainage (n = 7). Urological complications were related to the pancreatic transplant, to the renal transplant, or unrelated to the transplant.
  
  
  METHODS
  Morbidity.
  
  
  RESULTS
  After occlusion of the duct and enteric diversion, there were no urological complications related to the pancreatic transplant. On the other hand, among the 77 patients with pancreatic drainage into the bladder, urological complications were common (56/77; 73%). Complications related to the renal transplant were recorded in 6/33 (18%), 26/77 (34%) and 12/33 (36%), respectively. Complications unrelated to the transplant occurred in 6/77 patients (8%) in the bladder drainage group. Five patients after bladder drainage required cystoenteric conversion.
  
  
  CONCLUSIONS
  Enteric diversion is a safe alternative to bladder diversion and results in significantly fewer urological complications.
authors.affiliation: Department of Surgery, Università Vita e Salute, Milan, Italy. elenaors@tiscali.it
authors.forename: Elena
authors.initials: E
authors.lastname: Orsenigo
authors.forename: Marco
authors.initials: M
authors.lastname: Cristallo
authors.forename: Carlo
authors.initials: C
authors.lastname: Socci
authors.forename: Renato
authors.initials: R
authors.lastname: Castoldi
authors.forename: Antonio
authors.initials: A
authors.lastname: Secchi
authors.forename: Renzo
authors.initials: R
authors.lastname: Colombo
authors.forename: Laura
authors.initials: L
authors.lastname: Invernizzi
authors.forename: Paolo
authors.initials: P
authors.lastname: Fiorina
authors.forename: Richard
authors.initials: R
authors.lastname: Naspro
authors.forename: Valerio
authors.initials: V
authors.lastname: Di Carlo
mesh_terms: D000328:Adult; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D016030:Kidney Transplantation; D009017:Morbidity; D016035:Pancreas Transplantation; D011183:Postoperative Complications / Q000453:epidemiology*; D012189:Retrospective Studies; D014570:Urologic Diseases / Q000453:epidemiology*
chemical_list: D007166:Immunosuppressive Agents