title: [Surgical procedure and urologic complications after 922 kidney transplantations: our experience].
abstract: Between January 30 1971 and January 30 2011 922 kidney transplants were performed at our center, 360 (39%) from living related donor and 562 (61%) from cadaver. During first eight years an ureteroureterostomy was routinely used. The notable incidence of urological complications (fistula 11%, complications of stenting 10.7%, stenosis and lithiasis 4%) was observed after 140 transplantations. Majority of these complications (60%) were treated conservatively. A significant reduction in this incidence (P<0.001) was achieved (fistula 1,28%, complications of stenting 0,26%, lithiasis 0.12%) by introducing an extravesical ureteroneocystostomy by Lich-Gregoire. Stenosis had the highest incidence (4,23%). Majority of complications (76%) were treated surgically. A native ureter was commonly used in replacing the transplant ureter. In majority of patients an end-to-end pyelo(uretero)stomy was performed. Two patients were reoperated because of fistula, and the third had a prolonged healing. In last nine patients with urological complications an end-to-side pyelo(uretero)stomy was done. There was no urinary leakage. The safety of method results probably from an intact native ureter which has normal blood irrigation.
authors.affiliation: Department of Urology, University Hospital Rijeka, Rijeka, Croatia. anton.maricic@ri.t-com.hr
authors.forename: Anton
authors.initials: A
authors.lastname: Maricić
authors.forename: Petar
authors.initials: P
authors.lastname: Orlić
authors.forename: Maksim
authors.initials: M
authors.lastname: Valencić
authors.forename: Romano
authors.initials: R
authors.lastname: Oguić
authors.forename: Stanislav
authors.initials: S
authors.lastname: Sotosek
authors.forename: Dean
authors.initials: D
authors.lastname: Markić
authors.forename: Josip
authors.initials: J
authors.lastname: Spanjol
authors.forename: Stela
authors.initials: S
authors.lastname: Zivcić-Cosić
authors.forename: Sanjin
authors.initials: S
authors.lastname: Racki
authors.forename: Zeljko
authors.initials: Z
authors.lastname: Fuckar
mesh_terms: D000714:Anastomosis, Surgical; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects* / Q000379:methods*; D011183:Postoperative Complications / Q000209:etiology; D015607:Stents / Q000009:adverse effects; D014513:Ureter / Q000601:surgery*; D014570:Urologic Diseases / Q000209:etiology*