Kidney transplant grafts with complete ureteral duplication

To evaluate the outcome of renal transplants using donor grafts with complete ureteral duplication. Between 1999 and 2011, we performed 1368 kidney transplant procedures, including 87 dual kidney transplants. There were 12 transplants with donor kidneys that had complete ureteral duplication, includ...

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Veröffentlicht in:Experimental and clinical transplantation 2013-12, Vol.11 (6), p.507-509
Hauptverfasser: Lasaponara, Fedele, Dalmasso, Ettore, Bosio, Andrea, Pasquale, Giovanni, Sedigh, Omidreza, Santià, Silvia, Frea, Bruno
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container_end_page 509
container_issue 6
container_start_page 507
container_title Experimental and clinical transplantation
container_volume 11
creator Lasaponara, Fedele
Dalmasso, Ettore
Bosio, Andrea
Pasquale, Giovanni
Sedigh, Omidreza
Santià, Silvia
Frea, Bruno
description To evaluate the outcome of renal transplants using donor grafts with complete ureteral duplication. Between 1999 and 2011, we performed 1368 kidney transplant procedures, including 87 dual kidney transplants. There were 12 transplants with donor kidneys that had complete ureteral duplication, including 2 patients who had grafts with ureteral duplication that were used to perform a dual kidney transplant. In 11 patients with ureteral duplication, the 2 ureters were anastomosed separately to the bladder with a double Lich-Gregoir technique; in 1 patient, a ureteroureteral terminolateral anastomosis and single ureteroneocystostomy were performed. Urinary tract infections were noted during the first year after transplant in 7 patients (58%) that had kidney grafts with duplicated ureters (4 patients with 1 infection each; 3 patients with 2 infections each), but none developed pyelonephritis, functional impairment, or graft loss. There were no other urologic or renal complications observed in recipients of grafts with ureteral duplication. Donor kidneys with ureteral duplication may be used in renal transplant. The double Lich-Gregoir technique may provide excellent results.
doi_str_mv 10.6002/ect.2013.0065
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Between 1999 and 2011, we performed 1368 kidney transplant procedures, including 87 dual kidney transplants. There were 12 transplants with donor kidneys that had complete ureteral duplication, including 2 patients who had grafts with ureteral duplication that were used to perform a dual kidney transplant. In 11 patients with ureteral duplication, the 2 ureters were anastomosed separately to the bladder with a double Lich-Gregoir technique; in 1 patient, a ureteroureteral terminolateral anastomosis and single ureteroneocystostomy were performed. Urinary tract infections were noted during the first year after transplant in 7 patients (58%) that had kidney grafts with duplicated ureters (4 patients with 1 infection each; 3 patients with 2 infections each), but none developed pyelonephritis, functional impairment, or graft loss. There were no other urologic or renal complications observed in recipients of grafts with ureteral duplication. Donor kidneys with ureteral duplication may be used in renal transplant. 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Between 1999 and 2011, we performed 1368 kidney transplant procedures, including 87 dual kidney transplants. There were 12 transplants with donor kidneys that had complete ureteral duplication, including 2 patients who had grafts with ureteral duplication that were used to perform a dual kidney transplant. In 11 patients with ureteral duplication, the 2 ureters were anastomosed separately to the bladder with a double Lich-Gregoir technique; in 1 patient, a ureteroureteral terminolateral anastomosis and single ureteroneocystostomy were performed. Urinary tract infections were noted during the first year after transplant in 7 patients (58%) that had kidney grafts with duplicated ureters (4 patients with 1 infection each; 3 patients with 2 infections each), but none developed pyelonephritis, functional impairment, or graft loss. There were no other urologic or renal complications observed in recipients of grafts with ureteral duplication. Donor kidneys with ureteral duplication may be used in renal transplant. The double Lich-Gregoir technique may provide excellent results.</description><subject>Adult</subject><subject>Aged</subject><subject>Female</subject><subject>Graft Rejection - epidemiology</subject><subject>Humans</subject><subject>Incidence</subject><subject>Kidney Transplantation - methods</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Tissue Donors</subject><subject>Ureter - abnormalities</subject><subject>Urinary Tract Infections - epidemiology</subject><subject>Urologic Surgical Procedures</subject><issn>1304-0855</issn><issn>2146-8427</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kEtLxDAUhYMoThln6Vb6B1LzbBtcyeALB9zoOuSpgb5IUmT-vS2jbu7ZfJzD_QC4xqiqESK3zuSKIEwrhGp-BgqCWQ1bRppzUGCKGEQt5xuwSyloxFjTEFa3l2BDGGVMMFqAu9dgB3csc1RDmjo15PIzKp9T-R3yV2nGfupcduUclxtVV9p56oJROYzDFbjwqktu95tb8PH48L5_hoe3p5f9_QEaImiGbhlrFPG-tZ46rhG2VtGWK0cNwkQrYbEQynCNseBGGEZ462ptGfVeeEK3AJ56TRxTis7LKYZexaPESK4e5OJBrh7k6mHhb078NOve2X_672v6A4TuWfA</recordid><startdate>20131201</startdate><enddate>20131201</enddate><creator>Lasaponara, Fedele</creator><creator>Dalmasso, Ettore</creator><creator>Bosio, Andrea</creator><creator>Pasquale, Giovanni</creator><creator>Sedigh, Omidreza</creator><creator>Santià, Silvia</creator><creator>Frea, Bruno</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>20131201</creationdate><title>Kidney transplant grafts with complete ureteral duplication</title><author>Lasaponara, Fedele ; Dalmasso, Ettore ; Bosio, Andrea ; Pasquale, Giovanni ; Sedigh, Omidreza ; Santià, Silvia ; Frea, Bruno</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c293t-e4347a2ff8df3e5b01dda385ae3c012ba9d199ac5b1195c9c4258e6bd43ff9f23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Female</topic><topic>Graft Rejection - epidemiology</topic><topic>Humans</topic><topic>Incidence</topic><topic>Kidney Transplantation - methods</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><topic>Tissue Donors</topic><topic>Ureter - abnormalities</topic><topic>Urinary Tract Infections - epidemiology</topic><topic>Urologic Surgical Procedures</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lasaponara, Fedele</creatorcontrib><creatorcontrib>Dalmasso, Ettore</creatorcontrib><creatorcontrib>Bosio, Andrea</creatorcontrib><creatorcontrib>Pasquale, Giovanni</creatorcontrib><creatorcontrib>Sedigh, Omidreza</creatorcontrib><creatorcontrib>Santià, Silvia</creatorcontrib><creatorcontrib>Frea, Bruno</creatorcontrib><creatorcontrib>Department of Urology, Città della Salute e della Scienza Molinette Hospital, Turin, Italy</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Experimental and clinical transplantation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lasaponara, Fedele</au><au>Dalmasso, Ettore</au><au>Bosio, Andrea</au><au>Pasquale, Giovanni</au><au>Sedigh, Omidreza</au><au>Santià, Silvia</au><au>Frea, Bruno</au><aucorp>Department of Urology, Città della Salute e della Scienza Molinette Hospital, Turin, Italy</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Kidney transplant grafts with complete ureteral duplication</atitle><jtitle>Experimental and clinical transplantation</jtitle><addtitle>Exp Clin Transplant</addtitle><date>2013-12-01</date><risdate>2013</risdate><volume>11</volume><issue>6</issue><spage>507</spage><epage>509</epage><pages>507-509</pages><issn>1304-0855</issn><eissn>2146-8427</eissn><abstract>To evaluate the outcome of renal transplants using donor grafts with complete ureteral duplication. 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Donor kidneys with ureteral duplication may be used in renal transplant. The double Lich-Gregoir technique may provide excellent results.</abstract><cop>Turkey</cop><pmid>24344943</pmid><doi>10.6002/ect.2013.0065</doi><tpages>3</tpages></addata></record>
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subjects Adult
Aged
Female
Graft Rejection - epidemiology
Humans
Incidence
Kidney Transplantation - methods
Male
Middle Aged
Retrospective Studies
Tissue Donors
Ureter - abnormalities
Urinary Tract Infections - epidemiology
Urologic Surgical Procedures
title Kidney transplant grafts with complete ureteral duplication
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