Urological Complications in Renal Transplantation from Cadaveric Donor Grafts: A Retrospective Analysis of 20 Years
Introduction: This study is a retrospective analysis of ureteral complications and their management from a monocenter series of 277 consecutive renal transplantations. Materials and Methods: From September 1979 to June 1999, 277 renal transplantations (cadaveric origin) were performed in 241 patient...
Gespeichert in:
Veröffentlicht in: | Urologia internationalis 2005-01, Vol.75 (2), p.144-149 |
---|---|
Hauptverfasser: | , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 149 |
---|---|
container_issue | 2 |
container_start_page | 144 |
container_title | Urologia internationalis |
container_volume | 75 |
creator | Praz, V. Leisinger, H.-J. Pascual, M. Jichlinski, P. |
description | Introduction: This study is a retrospective analysis of ureteral complications and their management from a monocenter series of 277 consecutive renal transplantations. Materials and Methods: From September 1979 to June 1999, 277 renal transplantations (cadaveric origin) were performed in 241 patients. The ureter from the kidney graft was inserted into the bladder according to the technique of extravesical implantation described by Lich-Gregoir and Campos-Freire. The study analyzed the time of occurrence and the type of complications observed. The different procedures to restore the transplanted urinary tract are presented. Results: Complications occurred in 43/277 renal transplantations (15.5%). Anastomotic urine leakage or ureteral stricture were the most frequent. The time to appearance of these complications was either short (1 month) in a similar number of cases. Most cases were managed surgically: 33/43 cases (76.7%). The most frequent surgical repair was ureterovesical reimplantation (n = 13), followed by: ureteroureteral end-to-end anastomosis (native ureter–ureter transplant, n = 5); pyeloureteral anastomosis (native ureter–renal pelvis transplant, n = 5); simple revision of ureterovesical implantation (n = 4); resection and end-to-end anastomosis of the transplant ureter (n = 2); calico-vesicostomy (graft-bladder, n = 1); implantation according to Boari (n = 1); pyelovesicostomy with bipartition of bladder (n = 1), and pyeloileocystoplasty with detubularized ileal graft (n = 1). No deaths related to any of the urological complications were reported. However, 2 consecutive vesico-renal refluxes led to the loss of the kidney graft in the long-term. Conclusion: The rate of complications observed in this retrospective analysis is similar to the experience of other studies, ranging from 2 to 20%. If the classical extravesical ureteral bladder implantation is to remain an attractive technique due to its simplicity, the surgical team at the training center should be aware of all the means to prevent any ureteral complications, such as the choice of another implantation technique and/or insertion of a transient ureteral stent. |
doi_str_mv | 10.1159/000087169 |
format | Article |
fullrecord | <record><control><sourceid>proquest_karge</sourceid><recordid>TN_cdi_proquest_miscellaneous_68521575</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>68521575</sourcerecordid><originalsourceid>FETCH-LOGICAL-c303t-a6a423994b2964c1ba6d2c3879d80312ef32207a7f9d0a7a44955f79aad56b483</originalsourceid><addsrcrecordid>eNpFkE1Lw0AQhhdRbK0ePAuyJ8FDdD-ySdZbiVqFgiDtwVOYJLtlNcnG3bTQf-9qS53LDDPPvMy8CF1SckepkPckRJbSRB6hMY0ZjwiX8hiNCYlZRCnPRujM-09CAizTUzSiCWVcJHKM_NLZxq5MBQ3Obds3oRqM7Tw2HX5XXWgvHHS-b6Ab_iZYO9viHGrYKGcq_Gg76_DMgR78A56GpcFZ36tqMBuFp0Fh643HVmNG8IcC58_RiYbGq4t9nqDl89Mif4nmb7PXfDqPKk74EEEC4Rcp45LJJK5oCUnNKp6lss4Ip0xpzhhJIdWyJpBCHEshdCoBapGUccYn6Gan2zv7vVZ-KFrjK9WEV5Rd-yLJBKMiFQG83YFVuNw7pYvemRbctqCk-HW4ODgc2Ou96LpsVf1P7i0NwNUO-AK3Uu4A7NZ_AMZxfrg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>68521575</pqid></control><display><type>article</type><title>Urological Complications in Renal Transplantation from Cadaveric Donor Grafts: A Retrospective Analysis of 20 Years</title><source>MEDLINE</source><source>Karger Journals</source><creator>Praz, V. ; Leisinger, H.-J. ; Pascual, M. ; Jichlinski, P.</creator><creatorcontrib>Praz, V. ; Leisinger, H.-J. ; Pascual, M. ; Jichlinski, P.</creatorcontrib><description>Introduction: This study is a retrospective analysis of ureteral complications and their management from a monocenter series of 277 consecutive renal transplantations. Materials and Methods: From September 1979 to June 1999, 277 renal transplantations (cadaveric origin) were performed in 241 patients. The ureter from the kidney graft was inserted into the bladder according to the technique of extravesical implantation described by Lich-Gregoir and Campos-Freire. The study analyzed the time of occurrence and the type of complications observed. The different procedures to restore the transplanted urinary tract are presented. Results: Complications occurred in 43/277 renal transplantations (15.5%). Anastomotic urine leakage or ureteral stricture were the most frequent. The time to appearance of these complications was either short (<1 month) or late (>1 month) in a similar number of cases. Most cases were managed surgically: 33/43 cases (76.7%). The most frequent surgical repair was ureterovesical reimplantation (n = 13), followed by: ureteroureteral end-to-end anastomosis (native ureter–ureter transplant, n = 5); pyeloureteral anastomosis (native ureter–renal pelvis transplant, n = 5); simple revision of ureterovesical implantation (n = 4); resection and end-to-end anastomosis of the transplant ureter (n = 2); calico-vesicostomy (graft-bladder, n = 1); implantation according to Boari (n = 1); pyelovesicostomy with bipartition of bladder (n = 1), and pyeloileocystoplasty with detubularized ileal graft (n = 1). No deaths related to any of the urological complications were reported. However, 2 consecutive vesico-renal refluxes led to the loss of the kidney graft in the long-term. Conclusion: The rate of complications observed in this retrospective analysis is similar to the experience of other studies, ranging from 2 to 20%. If the classical extravesical ureteral bladder implantation is to remain an attractive technique due to its simplicity, the surgical team at the training center should be aware of all the means to prevent any ureteral complications, such as the choice of another implantation technique and/or insertion of a transient ureteral stent.</description><identifier>ISSN: 0042-1138</identifier><identifier>EISSN: 1423-0399</identifier><identifier>DOI: 10.1159/000087169</identifier><identifier>PMID: 16123569</identifier><language>eng</language><publisher>Basel, Switzerland</publisher><subject>Adolescent ; Adult ; Age Distribution ; Aged ; Cadaver ; Cohort Studies ; Female ; Humans ; Incidence ; Kidney Failure, Chronic - diagnosis ; Kidney Failure, Chronic - surgery ; Kidney Transplantation - adverse effects ; Kidney Transplantation - methods ; Male ; Middle Aged ; Original Paper ; Prognosis ; Retrospective Studies ; Risk Assessment ; Sex Distribution ; Switzerland - epidemiology ; Tissue Donors ; Ureteral Calculi - epidemiology ; Ureteral Calculi - etiology ; Ureteral Calculi - physiopathology ; Ureteral Obstruction - epidemiology ; Ureteral Obstruction - etiology ; Ureteral Obstruction - physiopathology ; Urologic Diseases - epidemiology ; Urologic Diseases - etiology ; Urologic Diseases - physiopathology ; Vesico-Ureteral Reflux - epidemiology ; Vesico-Ureteral Reflux - etiology ; Vesico-Ureteral Reflux - physiopathology</subject><ispartof>Urologia internationalis, 2005-01, Vol.75 (2), p.144-149</ispartof><rights>2005 S. Karger AG, Basel</rights><rights>Copyright (c) 2005 S. Karger AG, Basel.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c303t-a6a423994b2964c1ba6d2c3879d80312ef32207a7f9d0a7a44955f79aad56b483</citedby><cites>FETCH-LOGICAL-c303t-a6a423994b2964c1ba6d2c3879d80312ef32207a7f9d0a7a44955f79aad56b483</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,782,786,2431,27931,27932</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16123569$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Praz, V.</creatorcontrib><creatorcontrib>Leisinger, H.-J.</creatorcontrib><creatorcontrib>Pascual, M.</creatorcontrib><creatorcontrib>Jichlinski, P.</creatorcontrib><title>Urological Complications in Renal Transplantation from Cadaveric Donor Grafts: A Retrospective Analysis of 20 Years</title><title>Urologia internationalis</title><addtitle>Urol Int</addtitle><description>Introduction: This study is a retrospective analysis of ureteral complications and their management from a monocenter series of 277 consecutive renal transplantations. Materials and Methods: From September 1979 to June 1999, 277 renal transplantations (cadaveric origin) were performed in 241 patients. The ureter from the kidney graft was inserted into the bladder according to the technique of extravesical implantation described by Lich-Gregoir and Campos-Freire. The study analyzed the time of occurrence and the type of complications observed. The different procedures to restore the transplanted urinary tract are presented. Results: Complications occurred in 43/277 renal transplantations (15.5%). Anastomotic urine leakage or ureteral stricture were the most frequent. The time to appearance of these complications was either short (<1 month) or late (>1 month) in a similar number of cases. Most cases were managed surgically: 33/43 cases (76.7%). The most frequent surgical repair was ureterovesical reimplantation (n = 13), followed by: ureteroureteral end-to-end anastomosis (native ureter–ureter transplant, n = 5); pyeloureteral anastomosis (native ureter–renal pelvis transplant, n = 5); simple revision of ureterovesical implantation (n = 4); resection and end-to-end anastomosis of the transplant ureter (n = 2); calico-vesicostomy (graft-bladder, n = 1); implantation according to Boari (n = 1); pyelovesicostomy with bipartition of bladder (n = 1), and pyeloileocystoplasty with detubularized ileal graft (n = 1). No deaths related to any of the urological complications were reported. However, 2 consecutive vesico-renal refluxes led to the loss of the kidney graft in the long-term. Conclusion: The rate of complications observed in this retrospective analysis is similar to the experience of other studies, ranging from 2 to 20%. If the classical extravesical ureteral bladder implantation is to remain an attractive technique due to its simplicity, the surgical team at the training center should be aware of all the means to prevent any ureteral complications, such as the choice of another implantation technique and/or insertion of a transient ureteral stent.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Distribution</subject><subject>Aged</subject><subject>Cadaver</subject><subject>Cohort Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Incidence</subject><subject>Kidney Failure, Chronic - diagnosis</subject><subject>Kidney Failure, Chronic - surgery</subject><subject>Kidney Transplantation - adverse effects</subject><subject>Kidney Transplantation - methods</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Original Paper</subject><subject>Prognosis</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Sex Distribution</subject><subject>Switzerland - epidemiology</subject><subject>Tissue Donors</subject><subject>Ureteral Calculi - epidemiology</subject><subject>Ureteral Calculi - etiology</subject><subject>Ureteral Calculi - physiopathology</subject><subject>Ureteral Obstruction - epidemiology</subject><subject>Ureteral Obstruction - etiology</subject><subject>Ureteral Obstruction - physiopathology</subject><subject>Urologic Diseases - epidemiology</subject><subject>Urologic Diseases - etiology</subject><subject>Urologic Diseases - physiopathology</subject><subject>Vesico-Ureteral Reflux - epidemiology</subject><subject>Vesico-Ureteral Reflux - etiology</subject><subject>Vesico-Ureteral Reflux - physiopathology</subject><issn>0042-1138</issn><issn>1423-0399</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkE1Lw0AQhhdRbK0ePAuyJ8FDdD-ySdZbiVqFgiDtwVOYJLtlNcnG3bTQf-9qS53LDDPPvMy8CF1SckepkPckRJbSRB6hMY0ZjwiX8hiNCYlZRCnPRujM-09CAizTUzSiCWVcJHKM_NLZxq5MBQ3Obds3oRqM7Tw2HX5XXWgvHHS-b6Ab_iZYO9viHGrYKGcq_Gg76_DMgR78A56GpcFZ36tqMBuFp0Fh643HVmNG8IcC58_RiYbGq4t9nqDl89Mif4nmb7PXfDqPKk74EEEC4Rcp45LJJK5oCUnNKp6lss4Ip0xpzhhJIdWyJpBCHEshdCoBapGUccYn6Gan2zv7vVZ-KFrjK9WEV5Rd-yLJBKMiFQG83YFVuNw7pYvemRbctqCk-HW4ODgc2Ou96LpsVf1P7i0NwNUO-AK3Uu4A7NZ_AMZxfrg</recordid><startdate>20050101</startdate><enddate>20050101</enddate><creator>Praz, V.</creator><creator>Leisinger, H.-J.</creator><creator>Pascual, M.</creator><creator>Jichlinski, P.</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><scope>7X8</scope></search><sort><creationdate>20050101</creationdate><title>Urological Complications in Renal Transplantation from Cadaveric Donor Grafts: A Retrospective Analysis of 20 Years</title><author>Praz, V. ; Leisinger, H.-J. ; Pascual, M. ; Jichlinski, P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c303t-a6a423994b2964c1ba6d2c3879d80312ef32207a7f9d0a7a44955f79aad56b483</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Distribution</topic><topic>Aged</topic><topic>Cadaver</topic><topic>Cohort Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Incidence</topic><topic>Kidney Failure, Chronic - diagnosis</topic><topic>Kidney Failure, Chronic - surgery</topic><topic>Kidney Transplantation - adverse effects</topic><topic>Kidney Transplantation - methods</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Original Paper</topic><topic>Prognosis</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Sex Distribution</topic><topic>Switzerland - epidemiology</topic><topic>Tissue Donors</topic><topic>Ureteral Calculi - epidemiology</topic><topic>Ureteral Calculi - etiology</topic><topic>Ureteral Calculi - physiopathology</topic><topic>Ureteral Obstruction - epidemiology</topic><topic>Ureteral Obstruction - etiology</topic><topic>Ureteral Obstruction - physiopathology</topic><topic>Urologic Diseases - epidemiology</topic><topic>Urologic Diseases - etiology</topic><topic>Urologic Diseases - physiopathology</topic><topic>Vesico-Ureteral Reflux - epidemiology</topic><topic>Vesico-Ureteral Reflux - etiology</topic><topic>Vesico-Ureteral Reflux - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Praz, V.</creatorcontrib><creatorcontrib>Leisinger, H.-J.</creatorcontrib><creatorcontrib>Pascual, M.</creatorcontrib><creatorcontrib>Jichlinski, P.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Urologia internationalis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Praz, V.</au><au>Leisinger, H.-J.</au><au>Pascual, M.</au><au>Jichlinski, P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Urological Complications in Renal Transplantation from Cadaveric Donor Grafts: A Retrospective Analysis of 20 Years</atitle><jtitle>Urologia internationalis</jtitle><addtitle>Urol Int</addtitle><date>2005-01-01</date><risdate>2005</risdate><volume>75</volume><issue>2</issue><spage>144</spage><epage>149</epage><pages>144-149</pages><issn>0042-1138</issn><eissn>1423-0399</eissn><abstract>Introduction: This study is a retrospective analysis of ureteral complications and their management from a monocenter series of 277 consecutive renal transplantations. Materials and Methods: From September 1979 to June 1999, 277 renal transplantations (cadaveric origin) were performed in 241 patients. The ureter from the kidney graft was inserted into the bladder according to the technique of extravesical implantation described by Lich-Gregoir and Campos-Freire. The study analyzed the time of occurrence and the type of complications observed. The different procedures to restore the transplanted urinary tract are presented. Results: Complications occurred in 43/277 renal transplantations (15.5%). Anastomotic urine leakage or ureteral stricture were the most frequent. The time to appearance of these complications was either short (<1 month) or late (>1 month) in a similar number of cases. Most cases were managed surgically: 33/43 cases (76.7%). The most frequent surgical repair was ureterovesical reimplantation (n = 13), followed by: ureteroureteral end-to-end anastomosis (native ureter–ureter transplant, n = 5); pyeloureteral anastomosis (native ureter–renal pelvis transplant, n = 5); simple revision of ureterovesical implantation (n = 4); resection and end-to-end anastomosis of the transplant ureter (n = 2); calico-vesicostomy (graft-bladder, n = 1); implantation according to Boari (n = 1); pyelovesicostomy with bipartition of bladder (n = 1), and pyeloileocystoplasty with detubularized ileal graft (n = 1). No deaths related to any of the urological complications were reported. However, 2 consecutive vesico-renal refluxes led to the loss of the kidney graft in the long-term. Conclusion: The rate of complications observed in this retrospective analysis is similar to the experience of other studies, ranging from 2 to 20%. If the classical extravesical ureteral bladder implantation is to remain an attractive technique due to its simplicity, the surgical team at the training center should be aware of all the means to prevent any ureteral complications, such as the choice of another implantation technique and/or insertion of a transient ureteral stent.</abstract><cop>Basel, Switzerland</cop><pmid>16123569</pmid><doi>10.1159/000087169</doi><tpages>6</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0042-1138 |
ispartof | Urologia internationalis, 2005-01, Vol.75 (2), p.144-149 |
issn | 0042-1138 1423-0399 |
language | eng |
recordid | cdi_proquest_miscellaneous_68521575 |
source | MEDLINE; Karger Journals |
subjects | Adolescent Adult Age Distribution Aged Cadaver Cohort Studies Female Humans Incidence Kidney Failure, Chronic - diagnosis Kidney Failure, Chronic - surgery Kidney Transplantation - adverse effects Kidney Transplantation - methods Male Middle Aged Original Paper Prognosis Retrospective Studies Risk Assessment Sex Distribution Switzerland - epidemiology Tissue Donors Ureteral Calculi - epidemiology Ureteral Calculi - etiology Ureteral Calculi - physiopathology Ureteral Obstruction - epidemiology Ureteral Obstruction - etiology Ureteral Obstruction - physiopathology Urologic Diseases - epidemiology Urologic Diseases - etiology Urologic Diseases - physiopathology Vesico-Ureteral Reflux - epidemiology Vesico-Ureteral Reflux - etiology Vesico-Ureteral Reflux - physiopathology |
title | Urological Complications in Renal Transplantation from Cadaveric Donor Grafts: A Retrospective Analysis of 20 Years |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-05T10%3A35%3A57IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_karge&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Urological%20Complications%20in%20Renal%20Transplantation%20from%20Cadaveric%20Donor%20Grafts:%20A%20Retrospective%20Analysis%20of%2020%20Years&rft.jtitle=Urologia%20internationalis&rft.au=Praz,%20V.&rft.date=2005-01-01&rft.volume=75&rft.issue=2&rft.spage=144&rft.epage=149&rft.pages=144-149&rft.issn=0042-1138&rft.eissn=1423-0399&rft_id=info:doi/10.1159/000087169&rft_dat=%3Cproquest_karge%3E68521575%3C/proquest_karge%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=68521575&rft_id=info:pmid/16123569&rfr_iscdi=true |