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FURTHER EXPERIENCE WITH AN EXTERNAL URETEROVESICAL ANASTOMOSIS IN RENAL TRANSPLANTATION
Author(s) -
MEECH P. R.,
HARDIE I. R.,
HARTLEY L. C. J.,
STRONG R. W.,
WOODRUFF P. W. H.,
HIRST G. H. L.,
CLUNIE G. J. A.
Publication year - 1979
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.1445-2197.1979.tb06476.x
Subject(s) - medicine , transplantation , anastomosis , kidney transplantation , surgery , urology
Review of the results of the use of an external ureterovesical anastomosis in 266 renal transplantations showed that urinary fistulae occurred in 34 patients (12.8%), and ureteric obstruction in six (2.3%). The fistulae were due to technical failure of the anastomosis in 13 patients, to distal ureteric necrosis in 13, to total ureteric necrosis in six, and to other causes in two. Fistula management was successful in 26 cases (76.5%), but multiple operations were often necessary and wound complications frequent (41.2%). The continuing high incidence of urological complications following ureterovesical anastomosis has resulted in increasing use of ureteroneocystosfomy as the primary form of urinary reconstruction after transplantation in this unit.