21 May 2009
Ann Transplant 2009; 14(1): 53-53 :: ID: 880393
Background: Kidney transplantation is the treatment of choice for patients with the end-stage renal disease. Urinary complications used to be common after renal transplantation. Usually ureteral stricture, urine leak or both are observed. Aim: The aim of this study was to assess the number of urinary complications following renal transplantation in our centre.
Material/Methods: One hundred and seventy two patients received cadaveric renal transplants between January 1, 2006 and August 31, 2008. Data on donors, recipients and operative technique was collected. Urinary complications were analysed. The follow-up was completed on November 30, 2008. All patients were followed-up for three to thirty five months.
Results: Average 1-year graft survival was 86.9% for the whole group and the
mean creatinine concentration was 1.58 ml/dl. One case of primary nonfunction was observed (0.6%). Most of the ureterovesical anastomoses were performed by using the single-stitch technique (81.9%). In 21 cases, anastomoses were completed with Lich-Gregoir technique (12.3%). In two cases, two ureters were found and one anastomosis was completed with single-stitch technique and second with continuous suture in both cases. Eight patients had atypical ureterovesical anastomosis. Urinary complication was suspected in 7 cases (4.1%). In 5 cases (2.9%) surgical intervention was necessary. Ureteral necrosis was observed in 3 cases (1.7%) and urine leak in the anastomosis in 1 case (0.6%). The anastomosis at re-intervention in these four cases was completed by single-stitch technique. The difference in urinary complications in regard to ureterovesical anastomosis technique was not significant.
Conclusions: Urinary complications are infrequent in our centre and independent of the surgical technique.
Keywords: Kidney Transplantation
06 May 2022 : Original articlePhosphatidylethanol (PEth) for Monitoring Sobriety in Liver Transplant Candidates: Preliminary Results of D...
Ann Transplant In Press; DOI: 10.12659/AOT.936293
Most Viewed Current Articles
31 Dec 1969 : Original articleEfficacy and Safety of Tacrolimus-Based Maintenance Regimens in De Novo Kidney Transplant Recipients: A Sys...
Ann Transplant 2021; 26:e933588
31 Dec 1969 : Review articleRecurrence of Hepatocellular Carcinoma After Liver Transplantation: Risk Factors and Predictive Models
Ann Transplant 2022; 27:e934924
31 Dec 1969 : Review articleKidney Transplantation in the Times of COVID-19 – A Literature Review
Ann Transplant 2020; 25:e925755