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 |
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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 |
format | Article |
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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><identifier>ISSN: 1304-0855</identifier><identifier>EISSN: 2146-8427</identifier><identifier>DOI: 10.6002/ect.2013.0065</identifier><identifier>PMID: 24344943</identifier><language>eng</language><publisher>Turkey</publisher><subject>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</subject><ispartof>Experimental and clinical transplantation, 2013-12, Vol.11 (6), p.507-509</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c293t-e4347a2ff8df3e5b01dda385ae3c012ba9d199ac5b1195c9c4258e6bd43ff9f23</citedby><cites>FETCH-LOGICAL-c293t-e4347a2ff8df3e5b01dda385ae3c012ba9d199ac5b1195c9c4258e6bd43ff9f23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24344943$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><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><title>Kidney transplant grafts with complete ureteral duplication</title><title>Experimental and clinical transplantation</title><addtitle>Exp Clin Transplant</addtitle><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.</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.
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.</abstract><cop>Turkey</cop><pmid>24344943</pmid><doi>10.6002/ect.2013.0065</doi><tpages>3</tpages></addata></record> |
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source | MEDLINE; EZB-FREE-00999 freely available EZB journals |
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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