Single-stage renal transplantation-urinary diversion: a novel surgical approach.
BACKGROUND
This article reports outcomes of 2 patients who received a single-stage renal transplantation and concomitant urinary-diversion procedure.


METHODS
We followed the clinical diagnosis and outcome of 2 patients who underwent renal transplantation and urinary diversion as a single-stage procedure by retrospectively reviewing a Hartford Hospital Institutional Review Board-approved kidney database. Patient demographics, renal function, and surgical outcomes were examined.


CONCLUSIONS
Two patients underwent a simultaneous renal transplantation-ileal conduit creation to surgically manage their end-stage renal disease. One patient did not have any surgical complications, whereas the other suffered from a postoperative ileus (Clavien grade 3a), atrial fibrillation (Clavien grade 2), hypertension (Clavien grade 2), methicillin-resistant Staphylococcus aureus at the incisional site (Clavien grade 2), and a positive urine culture managed using antibiotics (Clavien grade 2). No major complications were observed and both have favorable outcomes at 23 and 19 months after surgery, respectively. This report demonstrates the feasibility and safety of single-stage renal transplantation and urinary diversion in select patients with end-stage renal disease status after cystectomy. To our knowledge, this is the first report of this novel technique.
Urology Division, Hartford Healthcare Medical Group, Hartford, CT.
Antonio
A
Cusano
Urology Division, Hartford Healthcare Medical Group, Hartford, CT. Electronic address: anoop.meraney@hhchealth.org.
Anoop M
AM
Meraney
Urology Division, Hartford Healthcare Medical Group, Hartford, CT.
Fernando
F
Abarzua-Cabezas
Department of Transplantation, Hartford Hospital, Hartford, CT.
Anne
A
Lally
Department of Transplantation, Hartford Hospital, Hartford, CT.
Matthew
M
Brown
Urology Division, Hartford Healthcare Medical Group, Hartford, CT.
Steven
S
Shichman
D000368:Aged; D002295:Carcinoma, Transitional Cell / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000601:surgery*; D007680:Kidney Neoplasms / Q000150:complications / Q000601:surgery*; D016030:Kidney Transplantation / Q000379:methods*; D008875:Middle Aged; D012189:Retrospective Studies; D014547:Urinary Diversion / Q000379:methods*