title: Urologic complications in more than 2500 kidney transplantations performed at the Saint Barnabas healthcare system.
abstract: We report our urologic complications based on one urologist's experience during a 17-year period on more than 2500 ureteral reimplantation operations performed at the time of kidney transplant. Among 2548 ureteroneocystostomies performed by the transplant urologist, a 5.5% urologic complication rate was observed. This included vesicoureteral reflux (3%), ureteral strictures (1.3%), urine leak (0.9%), and uteropelvic junction obstruction (0.3%). The factors for low urologic complication rates include the use of a shorter segment of ureter using the Lich-Gregoir technique (compared to the Politano-Leadbetter technique) and the routine use of indwelling stents. In addition, having one transplant urologist performing all ureteral reimplantations and managing all urologic complications provided consistency in results.
authors.affiliation: Division of Renal Transplantation, Saint Barnabas Medical Center, West Orange, New Jersey, USA. matthewmd@msn.com
authors.forename: M
authors.initials: M
authors.lastname: Whang
authors.forename: M
authors.initials: M
authors.lastname: Yballe
authors.forename: S
authors.initials: S
authors.lastname: Geffner
authors.forename: H S
authors.initials: HS
authors.lastname: Fletcher
authors.forename: S
authors.initials: S
authors.lastname: Palekar
authors.forename: S
authors.initials: S
authors.lastname: Mulgaonkar
mesh_terms: D003695:Delivery of Health Care / Q000458:organization & administration*; D016030:Kidney Transplantation / Q000009:adverse effects*; D009515:New Jersey; D012189:Retrospective Studies