Urologic complications in over 1000 kidney transplants performed at the Saint Barnabas healthcare system.
We report the complication rate based on one urologist's experience over a 9-year period including over 1000 ureteral reimplants performed at the time of kidney transplantation. Among 1083 ureteral reimplant operations, there was a 4.3% urologic complication rate, including a 2.7% ureteral stricture rate and a less than 1% rate each of urine leak ureteropelvic junction obstruction, vesicoureteral reflux and clot obstruction. The factors that lead to a low urologic complication rate are believed to be the use of short ureteral segment using the Lich (compared to the Politano-Leadbetter) technique and the routine use of indwelling stents. In addition, a consistency in results was attributed to one transplant urologist performing all ureteral reimplants and managing all urologic complications.
Whang
M
M
Division of Transplantation, Saint Barnabas Medical Center, Livingston, New Jersey 07039, USA.
Geffner
S
S
Baimeedi
S
S
Bonomini
L
L
Mulgaonkar
S
S
D002102:Cadaver; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects* / Q000379:methods; D019520:Living Donors; D009515:New Jersey; D011183:Postoperative Complications / Q000453:epidemiology*; D012189:Retrospective Studies; D014019:Tissue Donors; D014570:Urologic Diseases / Q000145:classification / Q000453:epidemiology*