Ureteric complications of renal transplantation: the impact of the double J stent and the anterior extravesical ureteroneocystostomy.
The urological complications of renal transplantation are well documented. In 1990, our experience of 507 consecutive renal transplants using the Leadbetter-Politano technique, which was unsplinted in the vast majority of patients, had a ureteric complication rate of 7.7%. Here, we report the long-term incidence and management of our ureteric complications in 1186 consecutive renal transplants done over the following 11 years using an extravesical onlay stented ureteroneocystostomy. We report a considerable reduction in the urological complications of renal transplantation to 3.8%. Furthermore, we were able to use percutaneous radiological techniques to salvage the majority (84.7%) of ureteric complications. Recourse to surgery was required rarely but enabled salvage of all treatment failures.
Guleria
S
S
St. James's University Hospital, Leeds, UK.
Chahal
R
R
Madaan
S
S
Irving
H C
HC
Newstead
C G
CG
Pollard
S G
SG
Lodge
J P A
JP
D003559:Cystostomy / Q000379:methods*; D006801:Humans; D015994:Incidence; D016030:Kidney Transplantation / Q000009:adverse effects* / Q000379:methods*; D011183:Postoperative Complications / Q000453:epidemiology / Q000517:prevention & control; D012189:Retrospective Studies; D015607:Stents; D014517:Ureteral Obstruction / Q000601:surgery; D014519:Ureterostomy / Q000379:methods*