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[Urologic complications after 333 kidney transplantations]
B Launois1, E Bardaxoglou, J P Campion
1Clinique Chirurgicale, Unité de transplantation, Rennes.
Chirurgie; Memoires De L'Academie De Chirurgie
|January 1, 1990
Summary
Kidney transplant recipients experienced a low incidence of urological complications (7.8%) primarily due to the Leadbetter-Politano ureterovesical anastomosis technique. Most complications involved urinary fistulae and ureteral obstructions, with some linked to graft harvesting.
Area of Science:
- Urology
- Transplantation Surgery
Context:
- Urological complications are a significant concern following kidney transplantation.
- The choice of ureterovesical anastomosis technique can influence complication rates.
Purpose:
- To analyze the incidence and causes of urological complications after kidney transplantation.
- To evaluate the effectiveness of the Leadbetter-Politano ureterovesical anastomosis in preventing these complications.
Summary:
- A study of 333 kidney transplantations identified 26 urological complications (7.8%) in 25 patients.
- The Leadbetter-Politano technique was used in most cases, contributing to a low complication rate.
- Urinary fistulae (9) and ureteral obstructions (17) were the main complications, with some attributed to graft harvesting techniques.
Impact:
- Highlights the importance of surgical technique in minimizing post-transplant urological issues.
- Provides data on the timing and types of urological complications encountered.
- Informs surgical practice to improve patient outcomes in kidney transplantation.