Transplantation

2014

DOI: 10.1097/00007890-201407151-02162

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Safety and Potential Benefits of Early Ureteric Stent Removal Tied With Urinary Catheter After Renal Transplant.

Aymon Naushad Ali²,

Krystian Pawelec³

et al.

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“…Of the 1043 articles identified from the initial literature search, fourteen articles were within the scope of this systematic review; three randomised controlled trials (RCTs) [20,21,31], nine retrospective cohort studies [8,13,19,22,23,32,33,34,35] and two prospective studies [36,37]. A total of 3216 patients were included, of which 2406 patients (74.8%) underwent living donor KTx (two studies did not record if they used living or deceased donors [34,35]). Table 1 presents an overview of the included studies.…”

Section: Resultsmentioning

confidence: 99%

“…We could not specify the type of stent in five studies. The authors of these five papers were contacted, but unfortunately, we received no response [19,34,35,36,37]. All studies reported the age of the recipients, except for the preliminary results in the three included abstracts [34,35,36].…”

Section: Resultsmentioning

confidence: 99%

“…The authors of these five papers were contacted, but unfortunately, we received no response [19,34,35,36,37]. All studies reported the age of the recipients, except for the preliminary results in the three included abstracts [34,35,36]. Only four studies reported that they both included adults and children [19,21,23,37].…”

Section: Resultsmentioning

confidence: 99%

“…Only four studies reported that they both included adults and children [19,21,23,37]. All articles described the incidence of UTIs, and nine articles also reported urinary leakage and/or ureteral stenosis [19,20,21,31,32,33,35,36,37]. Table 2 presents the incidence of the different outcome parameters for each study.…”

Section: Resultsmentioning

confidence: 99%

“…Regarding the used UNC technique, seven out of the fourteen articles described the use of the Lich–Gregoir technique [13,20,21,22,23,31,32]. Seven articles did not specify which surgical technique was used [8,19,33,34,35,36,37]. Regarding stent removal, ten articles used a cystoscopy for removal [8,20,21,22,23,32,33,34,35,36].…”

Section: Resultsmentioning

confidence: 99%

See 4 more Smart Citations

Timing of Ureteric Stent Removal and Occurrence of Urological Complications after Kidney Transplantation: A Systematic Review and Meta-Analysis

¹

,

²

,

³

et al. 2019

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Implanting a ureteric stent during ureteroneocystostomy reduces the risk of leakage and ureteral stenosis after kidney transplantation (KTx), but it may also predispose to urinary tract infections (UTIs). The aim of this study is to determine the optimal timing for ureteric stent removal after KTx. Searches were performed in EMBASE, MEDLINE Ovid, Cochrane CENTRAL, Web of Science, and Google Scholar (until November 2017). For this systematic review, all aspects of the Cochrane Handbook for Interventional Systematic Reviews were followed and it was written based on the PRISMA-statement. Articles discussing JJ-stents (double-J stents) and their time of removal in relation to outcomes, UTIs, urinary leakage, ureteral stenosis or reintervention were included. One-thousand-and-forty-three articles were identified, of which fourteen articles (three randomised controlled trials, nine retrospective cohort studies, and two prospective cohort studies) were included (describing in total n = 3612 patients). Meta-analysis using random effect models showed a significant reduction of UTIs when stents were removed earlier than three weeks (OR 0.49, CI 95%, 0.33 to 0.75, p = 0.0009). Regarding incidence of urinary leakage, there was no significant difference between early (<3 weeks) and late stent removal (>3 weeks) (OR 0.60, CI 95%, 0.29 to 1.23, p = 0.16). Based on our results, earlier stent removal (<3 weeks) was associated with a decreased incidence of UTIs and did not show a higher incidence of urinary leakage compared to later removal (>3 weeks). We recommend that the routine removal of ureteric stents implanted during KTx should be performed around three weeks post-operatively.

“…Of the 1043 articles identified from the initial literature search, fourteen articles were within the scope of this systematic review; three randomised controlled trials (RCTs) [20,21,31], nine retrospective cohort studies [8,13,19,22,23,32,33,34,35] and two prospective studies [36,37]. A total of 3216 patients were included, of which 2406 patients (74.8%) underwent living donor KTx (two studies did not record if they used living or deceased donors [34,35]). Table 1 presents an overview of the included studies.…”

Section: Resultsmentioning

confidence: 99%

“…We could not specify the type of stent in five studies. The authors of these five papers were contacted, but unfortunately, we received no response [19,34,35,36,37]. All studies reported the age of the recipients, except for the preliminary results in the three included abstracts [34,35,36].…”

Section: Resultsmentioning

confidence: 99%

“…The authors of these five papers were contacted, but unfortunately, we received no response [19,34,35,36,37]. All studies reported the age of the recipients, except for the preliminary results in the three included abstracts [34,35,36]. Only four studies reported that they both included adults and children [19,21,23,37].…”

Section: Resultsmentioning

confidence: 99%

“…Only four studies reported that they both included adults and children [19,21,23,37]. All articles described the incidence of UTIs, and nine articles also reported urinary leakage and/or ureteral stenosis [19,20,21,31,32,33,35,36,37]. Table 2 presents the incidence of the different outcome parameters for each study.…”

Section: Resultsmentioning

confidence: 99%

“…Regarding the used UNC technique, seven out of the fourteen articles described the use of the Lich–Gregoir technique [13,20,21,22,23,31,32]. Seven articles did not specify which surgical technique was used [8,19,33,34,35,36,37]. Regarding stent removal, ten articles used a cystoscopy for removal [8,20,21,22,23,32,33,34,35,36].…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Timing of Ureteric Stent Removal and Occurrence of Urological Complications after Kidney Transplantation: A Systematic Review and Meta-Analysis

¹

,

²

,

³

et al. 2019

View full text Add to dashboard Cite

Implanting a ureteric stent during ureteroneocystostomy reduces the risk of leakage and ureteral stenosis after kidney transplantation (KTx), but it may also predispose to urinary tract infections (UTIs). The aim of this study is to determine the optimal timing for ureteric stent removal after KTx. Searches were performed in EMBASE, MEDLINE Ovid, Cochrane CENTRAL, Web of Science, and Google Scholar (until November 2017). For this systematic review, all aspects of the Cochrane Handbook for Interventional Systematic Reviews were followed and it was written based on the PRISMA-statement. Articles discussing JJ-stents (double-J stents) and their time of removal in relation to outcomes, UTIs, urinary leakage, ureteral stenosis or reintervention were included. One-thousand-and-forty-three articles were identified, of which fourteen articles (three randomised controlled trials, nine retrospective cohort studies, and two prospective cohort studies) were included (describing in total n = 3612 patients). Meta-analysis using random effect models showed a significant reduction of UTIs when stents were removed earlier than three weeks (OR 0.49, CI 95%, 0.33 to 0.75, p = 0.0009). Regarding incidence of urinary leakage, there was no significant difference between early (<3 weeks) and late stent removal (>3 weeks) (OR 0.60, CI 95%, 0.29 to 1.23, p = 0.16). Based on our results, earlier stent removal (<3 weeks) was associated with a decreased incidence of UTIs and did not show a higher incidence of urinary leakage compared to later removal (>3 weeks). We recommend that the routine removal of ureteric stents implanted during KTx should be performed around three weeks post-operatively.

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