[Should double J catheter be systematically considered in renal transplantation?].
Protection of urinary anastomoses using a ureteral catheter is a frequent option in urology but such use in a systematic manner remains debated in renal transplantation. Some consider that systematic insertion of a double J sound decreases the incidence of ureteral complications (fistula and stenosis). Others who prefer a selective use in some situations with a related risk consider that the implementation of a double J catheter cannot compensate a technical defect. It is even responsible for specific complications (infections, incrustation, haemorrhages); it increases implantation costs and is useless in more than 90% of the cases. This article analyses the risks related to systematic implementation of a double J catheter in Lich-Gregoir ureterovesical anastomoses for renal transplantation, together with the related costs and the infectious risk. The benefits in terms of prevention of ureteral complications are evaluated.
Hétet
J F
JF
Clinique Urologique, CHU Hôtel-Dieu, 1, place Alexis-Ricordeau, 44093 Nantes 01, France. jfhetet@hotmail.com
Rigaud
J
J
Karam
G
G
D002404:Catheterization / Q000009:adverse effects; D004867:Equipment Design; D006801:Humans; D016030:Kidney Transplantation; D016896:Treatment Outcome; D014552:Urinary Tract Infections / Q000209:etiology / Q000517:prevention & control