title: Stent Removal in 200 Kidney Transplant Recipients: Nonoperative Versus Endoscopic Removal.
abstract: OBJECTIVE
  Inserting a double J stent during kidney transplant has reduced the rate of urologic complications. Traditionally, a double J stent is removed via endoscopic intervention. Here, we assessed the safety and efficacy of a nonoperative method for double J stent removal.
  
  
  METHODS
  Our study group included 200 consecutive patients who underwent kidney transplant from January 2013 to April 2014. Group A consisted of 100 recipients who had a double J stent that was tied to a Foley catheter with 2-0 silk suture. The stent was simply removed by taking out the Foley catheter after 3 weeks. Patients in group A were compared with a second group of 100 kidney transplant patients whose stents were removed endoscopically 3 weeks later (group B).
  
  
  RESULTS
  Patients were matched between the 2 groups regarding age distribution, male-to-female patient ratio, deceased versus living donor graft, prevalence of type 2 diabetes mellitus, and body mass index. The incidence of urinary fistula (3% in group A and 4% in group B; P = .7), ureteral stenosis (1% in group A and 2% in group B; P = .56), wound infection (1% in group A and 2% in group B; P = .56), and positive urine culture (20% in group A and 29% in group B; P = .14) after stent removal were not significantly different between the 2 groups.
  
  
  CONCLUSIONS
  This study shows that nonoperative removal of a double J stent is a safe and effective method. This approach is simple, and there is no need for a surgical procedure or any outpatient surgical intervention.
authors: From the Shahid Labbafinejad Medical Center, Urology and Nephrology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors: Nasser
authors: N
authors: Simforoosh
authors: Khaled
authors: K
authors: Obeid
authors: Babak
authors: B
authors: Javanmard
authors: Gholam Hossein
authors: GH
authors: Rezaeetalab
authors: Shahram
authors: S
authors: Razmjoo
authors: Mohammad Hossein
authors: MH
authors: Soltani
mesh_terms: D000293:Adolescent; D000328:Adult; D002408:Catheters, Indwelling; D020878:Device Removal / Q000009:adverse effects / Q000379:methods*; D004724:Endoscopy / Q000009:adverse effects; D005260:Female; D006801:Humans; D007492:Iran; D016030:Kidney Transplantation / Q000009:adverse effects / Q000295:instrumentation*; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D012307:Risk Factors; D015607:Stents; D013997:Time Factors; D016896:Treatment Outcome; D014546:Urinary Catheterization / Q000295:instrumentation; D062885:Urinary Catheters; D014570:Urologic Diseases / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control*; D055815:Young Adult