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Long‐term Outcome in Renal Transplantation with Terminal Cutaneous Ureterostomy
Author(s) -
PRIETO M.,
SIERRA M.,
FRANCISCO A. L. M.,
ZUBIMENDI J. A.,
MONTESINOS M. G.,
LATORRIENTE J.,
ARIAS M.
Publication year - 1993
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.1993.tb16284.x
Subject(s) - medicine , ureterostomy , surgery , stoma (medicine) , complication , ureter , stenosis , bacteriuria , transplantation , kidney transplantation , renal function , incidence (geometry) , creatinine , urinary system , bladder cancer , cancer , cystectomy , physics , optics
Summary We have reviewed the complications and follow‐up in 6 patients who underwent kidney transplantation with cutaneous ureterostomy. Four patients had tuberculosis, 1 myelomeningocele and another congenital stenosis of the posterior urethra. Cutaneous ureterostomy was performed by suturing the edges of the distal end of the ureter to the skin. The mean follow‐up was 40.6 months (range 2–105). The patient and graft survival rates were 83.3% and 66.6% respectively during the 249 months of total follow‐up. Significant bacteriuria and leukocyturia were constantly present and the incidence of urinary infection was 3.1 episodes/patient/year. The early complications of the stoma were partial necrosis in 1 case and haematoma in another. The most frequent late complication was stomal stenosis requiring periodic dilatation. A plasma creatinine of 61.88 to 114.92 µmol/l reflected good long‐term graft function in the remaining patients. Terminal cutaneous ureterostomy is a simple technique with good long‐term results.