Publication: Ureteric complications following renal transplantation: An eight years experience
| creativeworkseries.issn | 1812-2027 | |
| dc.contributor.author | BM, Shrestha | |
| dc.contributor.author | CR, Darby | |
| dc.contributor.author | RH, Moore | |
| dc.date.accessioned | 2025-07-24T05:38:39Z | |
| dc.date.available | 2025-07-24T05:38:39Z | |
| dc.date.issued | 2006 | |
| dc.description | Shrestha BM, Darby CR, Moore RH Renal Transplant Unit, University Hospital of Wales, Heath Park, Cardiff, UK | |
| dc.description.abstract | Objectives: Ureteric complications (UCs) following renal transplantation (RT) cause significant morbidity and ureteric stents are employed to bridge the vesico-ureteric anastomosis with a view to preventing these complications. The purpose of this study was to examine the incidence of UCs and outcomes following RT in both stented (STG) and non-stented groups (NSTG) of RT patients. Methods: This is a retrospective study of a cohort of 650 consecutive RTs [STG (N=267; 41%) and NSTG (N=383; 59%)] performed over a period of 8 years, where the data were retrieved from a prospectively maintained computerised database and case-notes. Results: The overall incidence of UCs was 6.5% (42/650), which consisted of ureteric obstruction (UO) in 4.3% (28) and ureteric leak (UL) in 2.2%(14) of patients. The incidence of UO was significantly high in the NSTG compared to the STG (6.3% vs.1.5%; P=0.002). However, the incidence of UL (3.4% vs.1.3%; P=0.1) and post- transplant urinary tract infection (UTI) (44% vs.41%; P=0.57) were not significantly different between the STG and NSTG groups. UO and UL were associated with significantly high incidence of UTI (P=0.001 and 0.01, respectively). All UCs were managed successfully without allograft loss. Conclusions: Routine stenting of ureteric anastomosis resulted in reduced incidence of UO without concomitant increased risk of UTI. Key words: Renal transplantation, vesico-ureteric anastomosis, stent, complications | |
| dc.identifier.uri | https://hdl.handle.net/20.500.14572/574 | |
| dc.language.iso | en_US | |
| dc.publisher | Kathmandu University | |
| dc.title | Ureteric complications following renal transplantation: An eight years experience | |
| dc.type | Article | |
| dspace.entity.type | Publication | |
| local.article.type | Original Article | |
| oaire.citation.endPage | 414 | |
| oaire.citation.startPage | 409 | |
| relation.isJournalIssueOfPublication | 33ef012a-4a08-47e9-beb2-7862118d90bf | |
| relation.isJournalIssueOfPublication.latestForDiscovery | 33ef012a-4a08-47e9-beb2-7862118d90bf | |
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