Open AccessIs a selective splinted ureterocystostomy protocol feasible in renal transplantation? An analysis of 475 renal transplantations
Author(s) -
Minnee Robert C.,
Surachno Susanto,
Kox Cees,
Ten Berge Ineke J. M.,
Aronson Daniel C.,
Idu Mirza M.
Publication year - 2006
Publication title -
transplant international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.998
H-Index - 82
eISSN - 1432-2277
pISSN - 0934-0874
DOI - 10.1111/j.1432-2277.2006.00313.x
Subject(s) - medicine , protocol (science) , transplantation , kidney transplantation , intensive care medicine , urology , pathology , alternative medicine
Summary Routine splinting of the ureterocystostomy during renal transplantation lowers the urological complication rate but increases patient's morbidity. The number needed to treat to prevent one urological complication is high. The aim of this study was to identify risk factors, which can be used in the implementation of a selective splinting ureterocystostomy protocol. Retrospective analysis of 475 consecutive renal transplantations performed between January 1999 and December 2004. Donor, surgical‐technical and recipient factors were assessed. Urological complications occurred in 62 (13%) patients. In 29 of these 62 patients (6.1%), only a temporary percutaneous nephrostomy catheter was necessary and in 33 (6.9%) surgical revision was required. Episodes of acute rejection and delayed graft function were identified as the only independent risk factors for a urological complication: odds ratio 2.62 [95% confidence interval: (CI) 1.38–4.97] and 2.22 (95% CI: 1.14–4.33), respectively. None of the risk factors for urological complications after renal transplantation that are known at the time of performing the ureterocystostomy are useful for the implementation of a selective splinting protocol.