Premium
How to stent the ureter after kidney transplantation in children?—A comparison of two methods of urinary drainage
Author(s) -
ter Haar Anuradha S.,
Parekh Rulan S.,
Leunissen Ralph W. J.,
van den Joop,
Lorenzo Armando J.,
Hebert Diane,
KeijzerVeen Mandy G.,
Cransberg Karlien
Publication year - 2018
Publication title -
pediatric transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 69
eISSN - 1399-3046
pISSN - 1397-3142
DOI - 10.1111/petr.13065
Subject(s) - medicine , splint (medicine) , surgery , ureter , stent , kidney transplantation , catheter , transplantation , urinary system , incidence (geometry) , complication , physical therapy , physics , optics
Ureteral stenting after pediatric renal transplantation serves to prevent obstruction and urinary leakage, but can also cause complications. This study compares the complication rates of both methods. Data were retrospectively collected at Erasmus MC, Rotterdam, the Netherlands (splint group, n = 61) and Hospital for Sick Children, Toronto, Canada (JJ catheter group, n = 50). Outcome measures included urological interventions and incidence of UTIs during the first 3 months post‐transplantation. The splint was removed after a median of 9 (IQR 8‐12), the JJ catheter after 42 (IQR 36‐50) days. Seven (11.5%) children in the splint group needed at least one urological re‐intervention versus two in the JJ catheter group ( P ‐value .20). UTIs developed in 19 children (31.1%) in the splint group and in twenty‐five (50.0%) children in the JJ catheter group ( P ‐value .04), with a total number of 27 vs. 57 UTIs ( P ‐value .02). Nine (33.3%) vs. 35 (61.4%) of these, respectively, occurred during the presence of the splint ( P ‐value <.001). Children with a JJ catheter developed more UTIs than children with a splint; the latter, however, tended to require more re‐interventions. Modification of either method is needed to find the best way to stent the ureter.