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Transplant ureter should be stented routinely

Ritesh Mongha1, Anant Kumar

  • 1Departments of Urology and Kidney Transplant, Fortis Hospital, Vasant Kunj, New Delhi-110 070, India.

Indian Journal of Urology : IJU : Journal of the Urological Society of India
|December 1, 2010
PubMed

Insights

Routine ureteral stenting after renal transplantation significantly decreases ureteroneocystostomy complications. This prophylactic measure, combined with antibiotics, does not increase infection rates and offers cost savings by preventing major ureteral issues.

Area of Science:

  • Nephrology
  • Urology
  • Transplant Surgery

Background:

  • Vesicoureteric complications are common early after renal transplantation.
  • These complications lead to increased patient morbidity, graft loss, and mortality.

Purpose of the Study:

  • To evaluate the efficacy of ureteral stenting in reducing ureteroneocystostomy anastomotic complications after renal transplantation.
  • To assess the impact of ureteral stenting on infection rates and healthcare costs.

Main Methods:

  • Prophylactic ureteral stent insertion during renal transplantation.
  • Endoscopic stent removal at a designated time post-transplantation.
  • Administration of antibiotic prophylaxis post-transplantation.

Main Results:

  • Ureteral stenting significantly decreases ureteroneocystostomy anastomotic complications.
  • Ureteral stenting with antibiotic prophylaxis does not increase urinary tract infection rates.
  • Routine stenting is cost-effective, preventing major ureteral complications and leading to overall cost savings.

Conclusions:

  • Routine prophylactic ureteral stenting is recommended following renal transplantation.
  • Stenting is a safe and cost-effective strategy to prevent early vesicoureteric complications.
  • This practice improves graft outcomes and reduces patient morbidity.

Keywords:
Stenttransplant ureter

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