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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.
Background:
To evaluate the role of using isosulfan blue via a three-way catheter in performing ureteroneocystostomy in kidney transplant recipients.
Methods:
A single-center, observational, descriptive study was conducted between December 2015 and July 2024 involving 112 kidney transplant recipients. A three-way catheter was used in all cases, and the bladder volume was assessed using a 1% isosulfan blue solution. Data on recipient demographics, bladder volume, and complications were analyzed.
Results:
A total of 112 patients were included. The mean age of recipients was 48.04 years (range: 25-69). A three-way urinary catheter with physiological saline and isosulfan blue solution was used in all cases. Bladder volume ranged from 50 cc to 250 cc. No intraoperative or postoperative complications were observed.
Conclusion:
The use of isosulfan blue through a three-way catheter significantly facilitated the identification of the bladder prior to ureteroneocystostomy, making the procedure easier and more reliable. We recommend the use of isosulfan blue for bladder exposure in kidney transplantation.
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