Incidence of Urinary Complications With Double J Stents in Kidney Transplantation

Kırnap, Mahir; Boyvat, Fatih; Moray, Gökhan; Yıldırım, Sedat; Haberal, Mehmet

doi:10.6002/ect.mesot2018.p14

Cited by 15 publications

(15 citation statements)

References 16 publications

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“…The impact of ureteral stenting on postoperative urinary leak, ureteral stenosis and bacteriuria after kidney transplantation is still a matter of debate. Various studies discuss the impact of JJ ureteral stent on postoperative major urologic complications and bacteriuria after kidney transplantation (8)(9)(10)(11)(12)(13)(14)(15)(16)(17). Some of the studies support the use of JJ stents in order to prevent major urologic complications (10,11).…”

Section: Discussionmentioning

confidence: 99%

“…The main objective of the centers dealing with solid organ transplantation is to reduce surgical site complications in order to improve the success of transplantation (7). The impact of peritoneal dialysis before kidney transplantation on urinary complications after kidney transplantation is still a matter of debate, and there are many controversies regarding which strategy to use the double J (JJ) stents (8)(9)(10)(11)(12)(13)(14)(15)(16)(17).…”

Section: Introductionmentioning

confidence: 99%

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Is peritoneal dialysis prior to kidney transplantation a risk factor for ureteral stenosis after adult to adult live kidney transplantation

et al. 2020

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Is peritoneal dialysis prior to kidney transplantation a risk factor for ureteral stenosis after adult to adult live kidney transplantation

et al. 2020

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“…Vascular compromise produces ischemia that may affect both proximal and distal parts of ureter. [14][15][16][17] It has been our policy to avoid dissection in the triangle between renal hilum, ureter and lower pole of the kidney to avoid damage to ureteral vasculature. As the ureter receives most of the blood from renal vessels, we use the minimum required length of the ureter.…”

Section: Discussionmentioning

confidence: 99%

Recipient and renal allograft survival following living related-donor transplantation: a single center experience

et al. 2020

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Background Despite improvements in surgical techniques of renal transplantation, still surgical complications remain a big challenge that might affect the post-transplant recipient and graft outcome. The aim of the current study was to retrospectively assess the surgical complications following living related kidney transplants in our center from 1990 to 2012 and determine their impact on long term recipient and graft survival. Methods We conducted a retrospective study of all live related-donor kidney transplants performed at our tertiary referral center between June 1990 and December 2012. Data regarding recipient demographics, details of surgical techniques, any reported complications and cumulative recipient and graft survival was analyzed. Results One hundred and four patients were included in the study whom we had access to their complete hospital records and they didn’t miss follow up. There were 41 surgical complications reported in 37 recipients, prevalence of 35.5%. Vascular and urologic complications were reported in 17(16.3%) and 11 (10.5%) recipients respectively. Lymphocele was post-operatively diagnosed in nine (8.7%) recipients. Recipient survival at 1 year and 5-year were 100% and 97% respectively. Graft survival at 1 year and at 5 years were 96% and 85.5% respectively. Surgical complications mentioned, other than renal artery thrombosis, had no statistically significant impact on the graft and recipient survival. Conclusion Although surgical complications post-transplantation are not rare, the resulting morbidity can be minimized by prompt management of complications. In general, the existence of surgical complications did not impact recipient or graft survival.

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“…Based on a review of the previous literature (6)(7)(8) and the status of our transplantation center, our research group decided that 20 factors might be associated with early UTI after kidney transplantation: sex, age, body mass index (BMI), history of diabetes, history of hypertension, history of hepatitis B, duration between primary disease and transplantation, average preoperative daily urine volume, preoperative dialysis, immune induction plan, immune suppression plan, duration of surgery, cold ischemia time, warm ischemia time, postoperative ureteral stent (double-J stent, D-J stent) placement time, postoperative urethral catheter placement time, postoperative acute rejection reaction, delayed graft function (DGF), duration of postoperative preventive antibacterial medication use, and duration of postoperative hospital stay. We designed the "Early UTI registration form for recipients after kidney transplantation" using the above factors as independent variables and whether UTI occurred as the dependent variable and collected the data of kidney transplant recipients.…”

Section: Inclusion Of Influencing Factorsmentioning

confidence: 99%

“…All recipients were transplanted for the first time, and the source of the kidney was Donation Among the 129 recipients, 62 patients had UTI within one month after kidney transplantation (48.1%), of whom 25 were male (40.3%) and 37 were female (59.7%). The median time of UTI occurrence was 5[4][5][6][7][8][9][10] days after operation, the shortest being 1 day and the longest being 22 days. Among the 2,915 urine culture samples, 243 specimens had pathogens, and 186 specimens were contaminated.…”

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confidence: 99%

Analysis of risk factors for early urinary tract infection after kidney transplantation

Han

et al. 2020

Transl Androl Urol

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Background: Urinary tract infection (UTI) is the most common kind of infection in the early stage after kidney transplantation. Although many studies have investigated the risk factors for UTI following kidney transplantation, few studies have focused on the risk factors for UTI in the early stage after transplantation. Methods:The early-stage data of patients who underwent kidney transplantation between January 2018 and December 2019 in a first-class tertiary hospital in Suzhou, China, were retrospectively analyzed. The general and UTI information of the recipients was subjected to univariate analysis. Variables with statistical significance in the univariate analysis were included in a multivariate logistic regression model.Results: A total of 129 recipients were recruited, among whom 62 patients had a UTI in the early stage after kidney transplantation (48.1%), and the median (interquartile range) of onset time was 5 (4, 10) days after the surgery. A total of 324 strains of UTI pathogens were detected in the 62 recipients after kidney transplantation, 279 of which were gram-negative bacilli (86.1%). Multivariate logistic regression analysis showed that female sex and delayed graft function (DGF) were independent risk factors for early-stage UTI, with odds ratios of 0.095 and 3.753, respectively. Conclusions:The incidence of early UTI after kidney transplantation is high. Females and DGF patients are more prone to UTIs. Comprehensive prevention and treatment measures should be taken as early as possible against the risk factors to reduce the incidence of UTI.

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Incidence of Urinary Complications With Double J Stents in Kidney Transplantation

Cited by 15 publications

References 16 publications

Is peritoneal dialysis prior to kidney transplantation a risk factor for ureteral stenosis after adult to adult live kidney transplantation

Is peritoneal dialysis prior to kidney transplantation a risk factor for ureteral stenosis after adult to adult live kidney transplantation

Recipient and renal allograft survival following living related-donor transplantation: a single center experience

Analysis of risk factors for early urinary tract infection after kidney transplantation

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