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Medical Science Monitor Basic Research

AmJCaseRep
MedSciTechnol

eISSN: 2329-0358

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Influence of Ureterovesical Anastomosis Technique on the Incidence of Vesicoureteral Reflux in Renal Transplant Recipients

M Ostrowski, Z Wlodarczyk, T Wesolowski, H Gracz, T Sluzar, J Sienko, J Lubikowski, R Bohatyrewicz

Ann Transplant 1999; 4(1): 54-58

ID: 497444


Urological complications of allogenic kidney transpl: ntation include vesicoureteral reflux which can result in graft threatening urinary tract infection. To prevent this complication several ureterovesicalanastomosis techniques have been developed. Authors present a comparison of three different techniques: extravesical without ani reflux mechanism, extravesical Witzel-lich with antireflux mechanism and intravesical Laedbetter-Politano with antireflux mechanism. 39 patients were selected randomly from a cohort of 420 allogenic kidney recipients (follow up time 10-147 months). All patients had voiding cys ographyand urine culture performed. The incidence of vesicoureteral reflux varied from 13,3% to 50%, depending on the anastomosis techr ique. No correlation between type of anastomosis and urinary tract infection was found.

Keywords: renal transplantation,, Vesicoureteral reflux, urinary tract infection

This paper has been published under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially.
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