PMID: 9187903Jan 1, 1997Paper

Urological complications in renal transplantation. A comparison between living-related and cadaveric grafts

European Urology
J CimicA J Hoitsma

Abstract

Since 1989 the percentage of living-related donor renal transplantations has increased considerably at our institution. We compared the incidence of urological complications in the living-related donor transplantation (LRDT) group and the cadaveric donor transplantation (CDT) group. Between September 1989 and September 1994, 534 consecutive patients underwent a renal transplantation. During that period, the percentage of LRDT increased from 10 to 25 (mean: 14.8) per year. In all patients a transvesical ureteroneocystostomy without antireflux mechanism was performed. A urological complication developed in 64 (11.9%) of the recipients (obstruction in 6.3%; leakage in 5.6%). In 41 (7.7%) patients the complication was transitory and could be managed with minimal invasive measures such as a percutaneous nephrostomy (n = 34), drainage of a paraurethral fluid collection (n = 13), transurethral bladder drainage (n = 3) or a combination of these. In 23 (4.3%) of the recipients a secondary urological intervention such as a pyeloureterostomy (n = 21) or percutaneous dilatation of a ureteral stricture was necessary. The incidence of obstruction was equal in the LRDT and CDT groups, whereas leakage was more frequently encountered in the LRD...Continue Reading

Citations

Jun 13, 2006·Transplant International : Official Journal of the European Society for Organ Transplantation·Robert C MinneeMirza M Idu
Apr 14, 2007·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·M J EnglesbeR M Merion
Dec 12, 2007·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Amr A El-HusseiniMohamed A Ghoneim
Sep 10, 2010·BJU International·Brian T HelfandChristopher M Gonzalez
Feb 16, 2018·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·E ArpaliH W Sollinger
Nov 2, 2002·BJU International·E H StreeterP J Morris
Oct 13, 2006·Current Opinion in Urology·C Rudge
Jan 24, 2006·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·G KaramM Giral
Feb 23, 2013·Experimental and Clinical Transplantation : Official Journal of the Middle East Society for Organ Transplantation·Bulang HeYing Han
Jan 26, 2005·Pediatric Transplantation·Ahmed A ShokeirAhmed B Shehab-El-Din

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