title: The role of prophylactic versus selective ureteric stenting in kidney transplant patients: a retrospective review.
abstract: OBJECTIVE
  To evaluate the role of prophylactic versus selective ureteric stenting in the development of postoperative ureterovesical complications in kidney transplant recipients.
  
  
  METHODS
  Records of 614 transplant patients seen from January 2006 to May 2011 were retrospectively reviewed. The primary outcome was the rate of ureterovesical complications, defined as the development of ureteric obstruction or a ureterovesical anastomotic leak. The secondary outcomes were the rate of urinary tract infections and forgotten stents. Using a χ2 test, we compared the primary and secondary outcomes across the selective and prophylactic cohorts. Logistic regression was used to compare the 2 cohorts while adjusting for potential confounders.
  
  
  RESULTS
  The selective and prophylactic cohorts consisted of 258 and 330 patients, respectively. Unadjusted analysis showed that the prophylactic group had a significantly lower rate of ureterovesical complications than did the selective group (2.12% vs 6.20%; odds ratio, 0.33; P= .01). After adjustment for differences in sex and donor type, the prophylactic group still had a lower risk for ureterovesical complications (odds ratio, 0.30; P= .009). Rates of urinary tract infections and forgotten stents did not differ significantly between the 2 groups.
  
  
  CONCLUSIONS
  Prophylactic stenting is associated with a significantly lower rate of ureterovesical complications than is selective stenting.
authors.affiliation: St Michael's Hospital, University of Toronto, Canada.
authors.forename: Michael
authors.initials: M
authors.lastname: Ordon
authors.affiliation: St Michael's Hospital, University of Toronto, Canada.
authors.forename: Daniela
authors.initials: D
authors.lastname: Ghiculete
authors.affiliation: St Michael's Hospital, University of Toronto, Canada.
authors.forename: Robert
authors.initials: R
authors.lastname: Stewart
authors.affiliation: St Michael's Hospital, University of Toronto, Canada.
authors.forename: Kenneth T
authors.initials: KT
authors.lastname: Pace
authors.affiliation: St Michael's Hospital, University of Toronto, Canada.
authors.forename: R John D'A
authors.initials: RJ
authors.lastname: Honey
mesh_terms: D005260:Female; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control*; D012189:Retrospective Studies; D015607:Stents; D016896:Treatment Outcome; D014513:Ureter / Q000601:surgery; D014570:Urologic Diseases / Q000517:prevention & control*