title: Comparison of Patients in Whom Double-J Stent Had Been Placed or Not Placed After Renal Transplantation in a Single Center: A Follow-up Study.
abstract: BACKGROUND
  Double-J (DJ) stents play an important role in modern urology to prevent undesirable side effects after surgery. We aimed to investigate the relationship of DJ stents with the demographic characteristics, surgical complications, urinary tract infection (UTI), and hematuria in the patients who underwent renal transplantation (Tx).
  
  
  METHODS
  Data of 354 patients who underwent renal Tx between 2008 and 2011 at Ege University were evaluated retrospectively; 331 patients were included in this study. The term DJ (-) represents patients in whom a DJ stent was not placed. "Primary DJ term" represents patients in whom the DJ stent was placed during the first Tx. "Secondary DJ term" represents the patients who had DJ after Tx for any complication.
  
  
  RESULTS
  Two hundred fifty-four (76.7%) patients were in the DJ (-) group, 52 (15.7%) were in the primary DJ group, and 25 (7.6%) were in the secondary DJ group. There were significant differences between the groups in terms of anastomosis type (P = .000), stay-in-hospital time (P = .000), surgical complication (P = .000), re-operation (P = .000), percutaneous nephrostomy (P = .000), UTI (P = .000), first-time UTI (P = .000), recurrent UTI (P = .000), positive hemoculture (P = .000), hematuria (P = .000), duration of dialysis before Tx (P = .000), live/deceased donor (P = .000), and delayed graft function (P = .009).
  
  
  CONCLUSIONS
  Our choice is to use the DJ stent in selected high-risk patients and to keep the indications for DJ stent wider in deceased donor transplants by considering possible surgical complications. The use of the stent only in selected cases will decrease surgical complications due to stent placement.
authors.affiliation: Department of General Surgery, Manisa State Hospital, Manisa, Turkey. Electronic address: ealci@yahoo.com.
authors.forename: E
authors.initials: E
authors.lastname: Alci
authors.affiliation: Department of General Surgery, Izmir Tepecik Teaching and Research Hospital, Izmir, Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Ustun
authors.affiliation: Department of General Surgery, Ege University School of Medicine, Izmir, Turkey.
authors.forename: T
authors.initials: T
authors.lastname: Sezer
authors.affiliation: Department of Nephrology, Ege University School of Medicine, Izmir, Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Yilmaz
authors.affiliation: Department of General Surgery, Ege University School of Medicine, Izmir, Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Ozdemir
authors.affiliation: Department of General Surgery, Istanbul Bakirkoy, Dr Sadi Konuk Teaching and Research Hospital, Istanbul, Turkey.
authors.forename: M G
authors.initials: MG
authors.lastname: Unsal
authors.affiliation: Department of General Surgery, Ege University School of Medicine, Izmir, Turkey.
authors.forename: A
authors.initials: A
authors.lastname: Uguz
authors.affiliation: Department of General Surgery, Ege University School of Medicine, Izmir, Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Sozbilen
authors.affiliation: Department of Nephrology, Ege University School of Medicine, Izmir, Turkey.
authors.forename: H
authors.initials: H
authors.lastname: Toz
authors.affiliation: Department of General Surgery, Ege University School of Medicine, Izmir, Turkey.
authors.forename: C
authors.initials: C
authors.lastname: Hoscoskun
mesh_terms: D000328:Adult; D000368:Aged; D051799:Delayed Graft Function / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control; D005260:Female; D005500:Follow-Up Studies; D006417:Hematuria / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous / Q000706:statistics & numerical data; D011183:Postoperative Complications / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control; D012086:Reoperation / Q000706:statistics & numerical data; D012189:Retrospective Studies; D015607:Stents; D016896:Treatment Outcome; D014513:Ureter / Q000601:surgery; D014552:Urinary Tract Infections / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control