A rare complication after renal transplantation: Forgotten stent

Karabıçak, Mustafa; Ipekci, Tumay; İşoğlu, Cemal Selçuk; Keskın, Mehmet; Ekin, Rahmi Gökhan; Budak, Salih; Türk, Hakan; Çelik, Orçun; İlbey, Yusuf Özlem

doi:10.4081/aiua.2015.2.175

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…Recently, there have been some reports about neglected double J stents in kidney transplant recipients. 7,11 On the other hand, the classic method of double J stent removal is to take it out via an endoscopic approach. 12 This procedure requires patient sedation or anesthesia in the operation room setting.…”

Section: Discussionmentioning

confidence: 99%

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2016

Exp Clin Transplant

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Objectives: Inserting a double J stent during kidney transplant has reduced the rate of urologic complications. Traditionally, a double J stent is removed via endoscopic intervention. Here, we assessed the safety and efficacy of a nonoperative method for double J stent removal. Materials and Methods: Our study group included 200 consecutive patients who underwent kidney transplant from January 2013 to April 2014. Group A consisted of 100 recipients who had a double J stent that was tied to a Foley catheter with 2-0 silk suture. The stent was simply removed by taking out the Foley catheter after 3 weeks. Patients in group A were compared with a second group of 100 kidney transplant patients whose stents were removed endoscopically 3 weeks later (group B). Results: Patients were matched between the 2 groups regarding age distribution, male-to-female patient ratio, deceased versus living donor graft, prevalence of type 2 diabetes mellitus, and body mass index. The incidence of urinary fistula (3% in group A and 4% in group B; P = .7), ureteral stenosis (1% in group A and 2% in group B; P = .56), wound infection (1% in group A and 2% in group B; P = .56), and positive urine culture (20% in group A and 29% in group B; P = .14) after stent removal were not significantly different between the 2 groups. Conclusions: This study shows that nonoperative removal of a double J stent is a safe and effective method. This approach is simple, and there is no need for a surgical procedure or any outpatient surgical intervention.

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Section: Discussionmentioning

confidence: 99%

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2016

Exp Clin Transplant

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“…Furthermore, we have no double J-related complications such as "the forgotten stent" or stent encrustation. 13,14 We have used 2 different types of external ureteral stents as standard care in the past years. As guidelines in literature are not equivocal, we conducted a database analysis to evaluate the outcomes of these 2 kinds of stents used during kidney transplant.…”

Section: Introductionmentioning

confidence: 99%

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Ooms

Spaans²,

Betjes³

et al. 2017

Exp Clin Transplant

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Objectives: The aim of this study was to evaluate the effects of 2 types of external ureteral stents on the number of urological complications after kidney transplant. Materials and Methods: Data were retrospectively collected from 366 consecutive transplants performed between January 2013 and January 2015 in our hospital, in which an external ureteral stent was placed during surgery and removed after 9 days. Urological complications were defined as urinary leakage or ureteral stenosis requiring percutaneous nephrostomy placement. Results: A total of 197 patients received a straight stent with 2 larger side holes (type A; 8F "Covidien" tube; Covidien, Dublin, Ireland) and 169 patients received a single J stent with 7 smaller side holes (type B; 7F "Teleflex" single J stent; Teleflex Medical, Athlone, Ireland). We found a significantly higher number of percutaneous nephrostomy placements with type A stents, with 34 (17%) versus 16 (9%) in type B (P = .030). Reason for percutaneous nephrostomy placement, occurrence of stent dysfunction, and need for early removal (< 8 days) were equal in both groups (P = .397), whereas incidence of rejection and urinary tract infection were higher in type B stent group. Patient and graft survival did not differ between the groups. Conclusions: Use of the type B stent was associated with less urological complications compared with the type A stent.

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A rare complication after renal transplantation: Forgotten stent

Cited by 2 publications

References 5 publications

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