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Isosulfan Blue and Bladder Disclosure in Kidney Transplant Recipients
1Department of Organ Transplantation, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkiye.
Transplantation Proceedings
|September 12, 2025
Summary
Isosulfan blue dye, administered via a three-way catheter, simplifies bladder identification during ureteroneocystostomy in kidney transplant recipients. This method enhances procedure reliability and safety, with no observed complications in 112 patients.
Area of Science:
- Urology
- Transplant Surgery
- Medical Imaging
Background:
- Ureteroneocystostomy is a critical step in kidney transplantation.
- Accurate bladder identification is essential for successful ureteroneocystostomy.
- Current methods for bladder visualization can be challenging.
Purpose of the Study:
- To assess the utility of isosulfan blue dye in facilitating ureteroneocystostomy.
- To evaluate the safety and efficacy of using a three-way catheter with isosulfan blue.
- To determine the impact on procedure ease and reliability in kidney transplant recipients.
Main Methods:
- An observational, descriptive study involving 112 kidney transplant recipients.
- Utilized a three-way catheter with a 1% isosulfan blue solution for bladder volume assessment.
- Analyzed recipient demographics, bladder volume, and complication data.
Main Results:
- Isosulfan blue dye was successfully used in all 112 patients.
- Bladder volume ranged from 50 cc to 250 cc.
- No intraoperative or postoperative complications were recorded.
Conclusions:
- Isosulfan blue dye significantly aids bladder identification before ureteroneocystostomy.
- The dye enhances the ease and reliability of the surgical procedure.
- Recommended for routine use in kidney transplantation for improved bladder exposure.
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