Urologic Complications in More Than 2500 Kidney Transplantations Peformed at the Saint Barnabas Healthcare System
| Autor: | M. Yballe, S. Palekar, Matthew Whang, Stuart Geffner, Shamkant Mulgaonkar, H.S. Fletcher |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Transplantation
medicine.medical_specialty Kidney New Jersey business.industry urologic and male genital diseases medicine.disease Kidney Transplantation Vesicoureteral reflux Kidney transplant female genital diseases and pregnancy complications Surgery surgical procedures operative Ureter medicine.anatomical_structure Urine leak medicine Urologic complication business Delivery of Health Care Ureteral reimplantation Retrospective Studies Healthcare system |
| Zdroj: | Transplantation Proceedings. 43:1619-1622 |
| ISSN: | 0041-1345 |
| DOI: | 10.1016/j.transproceed.2011.02.014 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect