Urologic complications in more than 2500 kidney transplantations performed at the Saint Barnabas healthcare system.

Publication/Presentation Date

6-1-2011

Abstract

We report our urologic complications based on one urologist's experience during a 17-year period on more than 2500 ureteral reimplantation operations performed at the time of kidney transplant. Among 2548 ureteroneocystostomies performed by the transplant urologist, a 5.5% urologic complication rate was observed. This included vesicoureteral reflux (3%), ureteral strictures (1.3%), urine leak (0.9%), and uteropelvic junction obstruction (0.3%). The factors for low urologic complication rates include the use of a shorter segment of ureter using the Lich-Gregoir technique (compared to the Politano-Leadbetter technique) and the routine use of indwelling stents. In addition, having one transplant urologist performing all ureteral reimplantations and managing all urologic complications provided consistency in results.

Volume

43

Issue

5

First Page

1619

Last Page

1622

ISSN

1873-2623

Disciplines

Medicine and Health Sciences

PubMedID

21693244

Department(s)

Department of Medicine

Document Type

Article

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