Postoperative cystography is unnecessary following renal transplantation with parallel incision extravesical
M J Conlin1, M J Lemmers, J M Barry
1Department of Surgery, Oregon Health Sciences University, Portland 97201-3098, USA.
Purpose:
To determine the need for postoperative cystography following extravesical ureteroneocystostomy for renal transplantation.
Materials And Methods:
The clinical courses of 200 consecutive kidney transplant recipients who underwent urinary tract reconstruction by parallel incision extravesical ureteroneocystostomy were reviewed.
Results:
Five of the 200 recipients did not have the study because of early mortality (1) or medical problems (4). Grade I vesicoureteral reflux was present in 5 (3%) of 182 unstented allograft ureters and 5 of 13 stented allograft ureters. Two patients (1%) underwent repeat ureteroneocystostomy, one for obstruction and one for extravasation. The cystograms were normal in both patients.
Conclusions:
Routine retrograde cystography is unnecessary following urinary tract reconstruction by parallel incision extravesical ureteroneocystostomy.
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