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Ureteroureterostomy and Pyeloureterostomy without Native Nephrectomy in Renal Transplantation
Author(s) -
LORD ROZANNE H. H.,
PEPERA T.,
WILLIAMS GORDON
Publication year - 1991
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1991.tb15159.x
Subject(s) - nephrectomy , medicine , transplantation , urology , surgery , kidney
Summary— A series of 23 patients, receiving full immunosuppression following renal transplantation, underwent a uretero‐ or pyelo‐ureterostomy with ligation of the native ureter and no nephrectomy. In 5 patients this was carried out at the time of transplantation because of a short donor ureter and in 18 patients, at a median of 47 days after transplantation, following ureteric complications. With a median follow‐up of 22 months, no complications have been seen in relation to the native kidney. Ureteroureterostomy was successful in all but 3 patients. A ureteroureterostomy without native nephrectomy is a safe and effective treatment for the management of ureteric complications following renal transplantation.