The Role of Ureteral Stents for All Ureteroneocystostomies in Kidney Transplants
Background: Despite significant advancements in renal transplantation, certain basic surgical practices suchas the routine use of ureteral stents (US) remain controversial. A recent met-analysis of ureteral stentingconcluded that the routine use of US resulted in improved outcomes. In contrast, the...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Shiraz University of Medical Sciences
2011-04-01
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| Series: | International Journal of Organ Transplantation Medicine |
| Subjects: | |
| Online Access: | http://home.sums.ac.ir/~habibzaf/ojs/index.php/IJOTM/article/view/69/127 |
| _version_ | 1818235994230489088 |
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| author | MR Laftavi Q Chaudhry R Kohli L Feng M Said K Paolini M Dayton O Pankewycz |
| author_facet | MR Laftavi Q Chaudhry R Kohli L Feng M Said K Paolini M Dayton O Pankewycz |
| author_sort | MR Laftavi |
| collection | DOAJ |
| description | Background: Despite significant advancements in renal transplantation, certain basic surgical practices suchas the routine use of ureteral stents (US) remain controversial. A recent met-analysis of ureteral stentingconcluded that the routine use of US resulted in improved outcomes. In contrast, the indiscriminate useof US can lead to adverse complications.Objective: To better define this question, we reviewed our single center experience in which US wereplaced selectively.Methods: 301 patients were eligible to be enrolled. 55 living donor and 246 deceased-donor charts wereanalyzed for donor and recipient clinical characteristics, immunosuppressive therapy and outcomes.Results: 28 US were placed for either small bladder capacity (n=7), unhealthy appearing bladder tissue(n=8) or for an uncertain vascular supply to the ureter (n=13). Patients with US did not develop urinaryleaks, 8 (28%) developed complications including obstruction, encrustation, and urinary tract infections.12 (4.3%) non-stented patients developed a clinically significant urinary leak. Risk factors for urinaryleaks included dual and en-bloc pediatric donor kidney transplants, extended criteria donors and the useof single U stitch technique for ureteral anastomoses.Conclusion: Our results demonstrate that the majority of patients can be successfully transplanted withoutthe routine use of US. Selective use of US should be reserved for high-risk situations. |
| first_indexed | 2024-12-12T12:02:48Z |
| format | Article |
| id | doaj.art-6c0c47fa11a846b086cf341d93691844 |
| institution | Directory Open Access Journal |
| issn | 2008-6490 2008-6482 |
| language | English |
| last_indexed | 2024-12-12T12:02:48Z |
| publishDate | 2011-04-01 |
| publisher | Shiraz University of Medical Sciences |
| record_format | Article |
| series | International Journal of Organ Transplantation Medicine |
| spelling | doaj.art-6c0c47fa11a846b086cf341d936918442022-12-22T00:25:04ZengShiraz University of Medical SciencesInternational Journal of Organ Transplantation Medicine2008-64902008-64822011-04-01226674The Role of Ureteral Stents for All Ureteroneocystostomies in Kidney TransplantsMR LaftaviQ ChaudhryR KohliL FengM SaidK PaoliniM DaytonO PankewyczBackground: Despite significant advancements in renal transplantation, certain basic surgical practices suchas the routine use of ureteral stents (US) remain controversial. A recent met-analysis of ureteral stentingconcluded that the routine use of US resulted in improved outcomes. In contrast, the indiscriminate useof US can lead to adverse complications.Objective: To better define this question, we reviewed our single center experience in which US wereplaced selectively.Methods: 301 patients were eligible to be enrolled. 55 living donor and 246 deceased-donor charts wereanalyzed for donor and recipient clinical characteristics, immunosuppressive therapy and outcomes.Results: 28 US were placed for either small bladder capacity (n=7), unhealthy appearing bladder tissue(n=8) or for an uncertain vascular supply to the ureter (n=13). Patients with US did not develop urinaryleaks, 8 (28%) developed complications including obstruction, encrustation, and urinary tract infections.12 (4.3%) non-stented patients developed a clinically significant urinary leak. Risk factors for urinaryleaks included dual and en-bloc pediatric donor kidney transplants, extended criteria donors and the useof single U stitch technique for ureteral anastomoses.Conclusion: Our results demonstrate that the majority of patients can be successfully transplanted withoutthe routine use of US. Selective use of US should be reserved for high-risk situations.http://home.sums.ac.ir/~habibzaf/ojs/index.php/IJOTM/article/view/69/127UreterUreteral stentsRenal transplantationUreteral anastomosis |
| spellingShingle | MR Laftavi Q Chaudhry R Kohli L Feng M Said K Paolini M Dayton O Pankewycz The Role of Ureteral Stents for All Ureteroneocystostomies in Kidney Transplants International Journal of Organ Transplantation Medicine Ureter Ureteral stents Renal transplantation Ureteral anastomosis |
| title | The Role of Ureteral Stents for All Ureteroneocystostomies in Kidney Transplants |
| title_full | The Role of Ureteral Stents for All Ureteroneocystostomies in Kidney Transplants |
| title_fullStr | The Role of Ureteral Stents for All Ureteroneocystostomies in Kidney Transplants |
| title_full_unstemmed | The Role of Ureteral Stents for All Ureteroneocystostomies in Kidney Transplants |
| title_short | The Role of Ureteral Stents for All Ureteroneocystostomies in Kidney Transplants |
| title_sort | role of ureteral stents for all ureteroneocystostomies in kidney transplants |
| topic | Ureter Ureteral stents Renal transplantation Ureteral anastomosis |
| url | http://home.sums.ac.ir/~habibzaf/ojs/index.php/IJOTM/article/view/69/127 |
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