Premium
The Ureter in Renal Transplantation: Results of a Simple Technique of Uretero‐Vesical Anastomosis
Author(s) -
Clunie G. J. A.,
Sidle K. J.,
Hartley L. C. J.,
Hardie I. R.
Publication year - 1974
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1974.tb06510.x
Subject(s) - medicine , anastomosis , ureter , surgery , cadaveric spasm , urinary system , urinary leakage , transplantation , reflux , urology , urinary incontinence , disease
In a series of 50 cadaveric renal allotransplants performed between September, 1969, and February, 1973, a simple technique of uretero‐vesical anastomosis performed from outside the bladder was utilized. Intravenous pyelography with a micturating cystographic phase was performed at regular intervals following operation in an attempt to define the incidence of mechanical urinary tract complications. Four cases of urinary leakage occurred, three requiring reoperation, and there was one case of ureteric obstruction due to a lymph cyst, Five cases of reflux into the transplanted ureter were demonstrated. We conclude that the incidence of complications is equivalent to that reported following the more standard and time‐consuming uretero‐neocystostomy used by most groups, and that this simple technique of uretero‐vesical anastomosis provides a useful alternative procedure.