Urinary tract reconstruction using uretero-ureteral end-to-side anastomosis in kidney transplant recipients

Transplantation Proceedings
H SasakiT Chikaraishi

Abstract

In kidney transplant recipients, the most widely used method for the reconstruction of the urinary pathway is ureteroneocystostomy, which may be difficult in cases with disused atrophic bladder. In this study, we evaluated kidney transplant recipients who underwent uretero-ureteral end-to-side anastomosis (UUA) in urinary reconstruction due to disused atrophic bladder. To clarify the effectiveness of this method, we retrospectively reviewed the clinical records of kidney transplant recipients in our hospital. A total of 9 recipients with urinary reconstruction using UUA were evaluated. All of these patients had a history of long-term hemodialysis before transplantation, accompanied by complete anuria and small capacity of the bladder. In 4 patients, cranial native ureter was ligated, whereas it was not ligated in the remaining 5 patients. In 2 of 4 patients with cranial ligation, hydronephrosis developed in the native kidney with no further treatment being required. No patients experienced urinary tract complications including hydronephrosis in the graft, urine extravasation, or urinary tract infection in the follow-up period (757.6 ± 491.3 days). Allograft function was maintained well in all patients (serum creatinine level, 1...Continue Reading

References

Aug 1, 1969·Archives of Surgery·L D MacLeanJ B Dossetor
Feb 1, 1997·Transplantation Proceedings·H MäkisaloJ Ahonen
Apr 1, 1997·British Journal of Urology·P C ButterworthM L Nicholson
Dec 18, 2001·The Journal of Urology·Michael L Gallentine, Francis H Wright
Nov 2, 2002·BJU International·E H StreeterP J Morris
Sep 16, 2008·Transplantation Proceedings·H UshigomeN Yoshimura
Dec 18, 2013·Therapeutic Apheresis and Dialysis : Official Peer-reviewed Journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy·Shigeru NakaiYoshiharu Tsubakihara

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