title: Urological complications in ureteric stenting live related renal transplantation.
abstract: OBJECTIVE
  To determine the frequency and types of post-transplant urological complications in live-related kidney transplantation with reference to the impact of JJ ureteric stent.
  
  
  METHODS
  Case series.
  
  
  METHODS
  Shaikh Zayed Postgraduate Medical Institute and National Institute of Kidney Diseases, Lahore, from June 2006 to July 2010.
  
  
  METHODS
  Consecutive renal transplantations, donors being alive were relatives, reterospectively reviewed. All patients underwent extravesical ureteroneocystostomy and all, except one were stented. From the retrieved clinical records, the frequency and types of various minor and major urological complications and their management was studied. All the complications were managed according to standard guidelines.
  
  
  RESULTS
  The overall incidence of urological complications among transplant recipients was 11.9%, observed in 12 patients. The complications were urinary leakage in 2 (2%) and clot retention, ureterovesical junction obstruction and wound infection in one (1%) patient each. Urinary tract infection was observed in 7 (6.9%) patients.
  
  
  CONCLUSIONS
  Urinary tract infection was the most common urologic complication in the studied cases. The technique of stented extravesical ureteronecystostomy had a low rate of urological complications in this series. Other factors which may reduce the urological complications are preserving adventitia, fat and blood supply of ureter by delicate dissection during donor nephrectomy and prevent kinking and twisting of ureter are important factors in reducing the post-transplant urological complications.
authors.affiliation: Department of Urology, Shaikh Zayed Hospital, Lahore. hshahzad53@yahoo.com
authors.forename: Hafiz Shahzad
authors.initials: HS
authors.lastname: Ashraf
authors.forename: Mohammad Usman
authors.initials: MU
authors.lastname: Khan
authors.forename: Imran
authors.initials: I
authors.lastname: Hussain
authors.forename: Imran
authors.initials: I
authors.lastname: Hyder
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D015607:Stents; D014519:Ureterostomy; D014552:Urinary Tract Infections / Q000453:epidemiology; D014570:Urologic Diseases / Q000453:epidemiology*; D055815:Young Adult