Ureteric Stent in Renal Transplantation

Gomes, G.; Nunes, Pedro; Castelo, D.; Parada, B.; Patrão, R.; Bastos, C.; Roseiro, A.; Mota, A.

doi:10.1016/j.transproceed.2013.02.086

Cited by 20 publications

(19 citation statements)

References 11 publications

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“…Some authors think that at renewal continuity of urinary tracks with the usage of urinary stent, probability of urinary complications is less significantly than at without J-stent anastomosis [11][12][13][14][15][16].…”

Section: Results and Their Discussionmentioning

confidence: 99%

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Ureteric stent in renal transplantation: to be or not to be?

Vildanov

Nykonenko

Русанов

et al. 2016

ZMJ

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Urological complications after kidney transplantation is still now one of the main reasons of worsening operation results. Most surgeons pay a lot of attention to the urinary fistulae. At verifiable urinary fistulae the next tactics significantly depends on the presence of urinary stent.Subject of the work: to study the effectiveness of implantation as for double J-stents at kidney transplantation for prophylaxis of urinary fistulae. Materials and methods. The analyzed results of kidney transplantation among 66 patients from 2012 to 2016. There were 37 (56.1 %) men, the average age of patients was 33.4±12.4 years. All the patients on early after surgical period were done the monitoring of clinic-biological indexes, ultrasonic examination with scanning of renal allograft. As for the aim of the work all the patients were divided into two groups.The main group included 35 (53 %) recipients with kidney allografts, everyone of them was set uretero-bladder anastomosis on the double J-stent during the period from 11.2013 to 06.2016. The average age of patients was 32.6±9.2 years, there were 17 (48.6 %) men, 18 women (51.4 %).Controlling group involved 31 (47 %) patients. During the period from 01.2012 to 10.2013 at kidney transplantation urinary stents were not used among the patients. The average age of recipients was 34.3±15.3 years, there were 20 (64.5 %) men, 11 women (35.5 %).Results. According to the analysis of our clinic material the implantation of J-stent at kidney transplantation for prophylaxis of urinary fistulae is reliably (p<0.05) effective. In our research there is no connection (p>0.05) with the infection of urinary tracks with the presence of urinary stent.Conclusions. Implantation of J-stent is effective and safe method of surgical prophylaxis of urinary fistulae and it can be routinely applied at kidney transplantation. Zaporozhye medical journal 2016; №5 (98): 43-46Сечовідний стент при трансплантації нирки: бути чи не бути?Урологічні ускладнення після трансплантації нирки залишаються однією з основних причин погіршення результатів операції. Біль-шість хірургів приділяють найпильнішу увагу сечовим затьокам. Під час верифікованого сечового затьоку подальша тактика більшою мірою залежить від наявності сечовідного стенту.Мета роботи -вивчити ефективність імплантації подвійних J-подібних сечовідних стентів при пересадці нирки для профілактики сечового затьоку.Матеріали та методи. Проаналізовані результати трансплантації нирки 66 хворих за період 2012-2016 рр. Чоловіків було 37 (56,1 %), середній вік -33,4±12,4 року. Всім пацієнтам у ранньому післяопераційному періоді виконувався моніторинг клініко-біохімічних показників, ультразвукове дослідження з дуплексним скануванням ниркового алотрансплантату. Згідно з метою роботи пацієнти були поділені на дві групи. Основну групу становили 35 (53 %) реципієнтів ниркового алотрансплантату, яким у період з 11.2013 по 06.2016 р. сечовідно-міхуровий анастомоз формували на подвійному J-подібному сечовідному стенті. Середній вік пацієнтів -32,6±9,2 року, чоловіків бул...

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Section: Results and Their Discussionmentioning

confidence: 99%

“…Another sources refute this statement [13][14][15][16]20] and indicate to the connection of true bacteriuria (>/105 colonies/ml [21]) after kidney transplantation not with the presence of stent but among the female recipients, long usage of bladder catheter and postponed function of renal allograft [14,15].…”

Section: Results and Their Discussionmentioning

confidence: 99%

Ureteric stent in renal transplantation: to be or not to be?

Vildanov

Nykonenko

Русанов

et al. 2016

ZMJ

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“…23 Gomes and associates also found more urological complications with external stenting compared with double J stenting (17% vs 5%); however, this was also a retrospective study. 24 Another way of stenting the ureteroneocystostomy is by using an internal stent tied to a Foley catheter. This way, the stent is removed simultaneous during Foley catheter removal.…”

Section: Discussionmentioning

confidence: 99%

Untitled

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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“…However, transplantation usually results in urinary complications (UC) such as urine leak, vesicoureteral reflux, stricture, and ureteric obstruction. To prevent such complications, the placement of double J (DJ) stents is a common prophylaxis during ureteral anastomosis [2][3][4][5][6][7]. However, an increase in urinary tract infections (UTI) and hematuria has been observed with the use of DJ stents following transplantation [8].…”

Section: Introductionmentioning

confidence: 99%

Does early removal of double J stents reduce urinary infection in living donor renal transplantation?

Soylu¹,

Aydın²,

Atli³

et al. 2019

aoms

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A b s t r a c tIntroduction: Prophylactic use of double J (DJ) stents in recipients is highly accepted in renal transplantation. In this study, the association between the frequency of urologic complications (UC) and urinary tract infections (UTI), and the early or late removal of DJ stents was investigated. Material and methods: A total of 116 live-donor renal transplant patients were included in the study during a 4-year period, with a mean follow-up of 29.2 ±15.3 months. In all, DJ stents were used. All patients were clinically monitored for graft function by assessment of the complete blood count, renal biochemistry, urine analysis and blood drug level according to our follow-up protocol. Results: The patients were divided into 2 groups according to the time of their stent removal: group I (n = 44), removal within the first 14 days; and group II (n = 72), removal after 14 days. No urinary leaks were detected in either of the groups. Three patients suffered from anastomotic stricture (group I, n = 1; group II, n = 2). The rates of UTI were similar in groups I and II (13.6% vs. 16.6%, respectively, p = 0.79). The rate of UTI in women was found to be 3.8 times higher than in men. Conclusions:The results of our study demonstrated that DJ stent removal within 14 days did not reduce the risk of UTI when compared to stent removal after 14 days. Similar effects on complication rates for ureteral stenting for these 2 removal periods were observed.

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Ureteric Stent in Renal Transplantation

Cited by 20 publications

References 11 publications

Ureteric stent in renal transplantation: to be or not to be?

Ureteric stent in renal transplantation: to be or not to be?

Untitled

Does early removal of double J stents reduce urinary infection in living donor renal transplantation?

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