Comparison of urological complications with primary ureteroureterostomy versus conventional ureteroneocystostomy

Clinical Transplantation
Zhilin NieFengshuo Jin

Abstract

Urological complications after kidney transplantation may be serious and carry a high risk of graft loss. The purpose of this study was to compare urological complications with primary ureteroureterostomy versus conventional ureteroneocystostomy retrospectively. Between December 1993 and April 2008, 1287 kidney transplants were performed at our institution. Urological complications such as urine leakage, ureteral obstruction and vesicoureteral reflux (VUR) were summarized according to the different ways of urinary tract reconstruction, ureteroureterostomy (U-U) and ureteroneocystostomy (U-C). Overall, urological complications were encountered in 94 (7.3%) cases, including urine leakage (n = 44, 3.4%), ureteral obstruction (n = 36, 2.8%), VUR (n = 14, 1.1%). Seventy-six cases (7.8%) were in the U-C group and 18 cases (5.8%) were in the U-U group. Ninety-three recipients were successfully treated, and one lost the graft because of pelvis and ureteral necrosis. There was no recipient loss secondary to these complications. In conclusion, U-U does not change the overall incidence of urological complications comparing to U-C, but it can decrease the incidence of urine leakage. It is a good first option with a greater possibility of r...Continue Reading

References

Sep 25, 2002·Transplantation Proceedings·R Mahdavi-Zafarghani, R Taghavi
Nov 2, 2002·BJU International·E H StreeterP J Morris
Jun 27, 2003·Transplantation Proceedings·K C LatchamsettyC L Coogan
Oct 13, 2004·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·Richard S Mangus, Brian W Haag
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Sep 7, 2006·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Eduardo MazzucchiMiguel Srougi
May 22, 2007·Transplant International : Official Journal of the European Society for Organ Transplantation·Ayhan DinckanAlper Demirbas

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Citations

Feb 17, 2015·Clinical Transplantation·Amir A Rahnemai-AzarLiise K Kayler
Nov 18, 2014·Pediatric Transplantation·Kyle J Van ArendonkPaul M Colombani
Oct 11, 2016·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·R ThuretM O Timsit
Jun 10, 2021·Arab Journal of Urology·Ahmed A ShokeirRashad Barsoum

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