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Impact of Ureteral Length on Urological Complications and Patient Survival After Kidney Transplantation
BACKGROUND: Urologic complications are of the most important complications after kidney transplantation which increases mortality and morbidity significantly. OBJECTIVES: We designed this study to evaluate the association between ureteral length and postoperative complications. PATIENTS AND METHODS:...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Kowsar
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3842558/ https://www.ncbi.nlm.nih.gov/pubmed/24350086 http://dx.doi.org/10.5812/numonthly.10881 |
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author | Ali-Asgari, Majid Dadkhah, Farid Ghadian, Alireza Nourbala, Mohammad Hossein |
author_facet | Ali-Asgari, Majid Dadkhah, Farid Ghadian, Alireza Nourbala, Mohammad Hossein |
author_sort | Ali-Asgari, Majid |
collection | PubMed |
description | BACKGROUND: Urologic complications are of the most important complications after kidney transplantation which increases mortality and morbidity significantly. OBJECTIVES: We designed this study to evaluate the association between ureteral length and postoperative complications. PATIENTS AND METHODS: We recorded the length of the transplanted ureter during the operation. Ureter-to-bladder anastomosis was performed using modified Lich-Gregoir method on the ureteral stent. Complications like urine leakage and increased creatinine were evaluated. We used both univariate and multivariate analyses and survival analysis according lengths of ureter. It means that the main variable is ureteral length and other variables are studied based on it. RESULT: A total of 395 patients with the mean age of 37 years (range, 18 to 68 years) were enrolled in the study, twenty six graft lost during the follow-up period. The Mean age of recipients was 37 ± 13 years. Urinary stenosis was seen in 6 patients (1.5%) and urinary leakage in 4 (1%) patients. The complication rate was not significantly different between these groups (P = 0.67). We found that there were no significant difference among complication (P = 0.25), hospitalization (P = 0.31) and survival (P = 0.84) at 5.5 cm length cut off. CONCLUSIONS: The length of transplanted ureter does not affect the postoperative urologic complications (including urinary fistula and ureter-to-bladder anastomosis stricture), and it seems that decreased rate of complication frequency during the recent years is due to technical improvement, surgeon’s skillfulness and development in use of immunosuppressant’s postoperatively. |
format | Online Article Text |
id | pubmed-3842558 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Kowsar |
record_format | MEDLINE/PubMed |
spelling | pubmed-38425582013-12-12 Impact of Ureteral Length on Urological Complications and Patient Survival After Kidney Transplantation Ali-Asgari, Majid Dadkhah, Farid Ghadian, Alireza Nourbala, Mohammad Hossein Nephrourol Mon Research Article BACKGROUND: Urologic complications are of the most important complications after kidney transplantation which increases mortality and morbidity significantly. OBJECTIVES: We designed this study to evaluate the association between ureteral length and postoperative complications. PATIENTS AND METHODS: We recorded the length of the transplanted ureter during the operation. Ureter-to-bladder anastomosis was performed using modified Lich-Gregoir method on the ureteral stent. Complications like urine leakage and increased creatinine were evaluated. We used both univariate and multivariate analyses and survival analysis according lengths of ureter. It means that the main variable is ureteral length and other variables are studied based on it. RESULT: A total of 395 patients with the mean age of 37 years (range, 18 to 68 years) were enrolled in the study, twenty six graft lost during the follow-up period. The Mean age of recipients was 37 ± 13 years. Urinary stenosis was seen in 6 patients (1.5%) and urinary leakage in 4 (1%) patients. The complication rate was not significantly different between these groups (P = 0.67). We found that there were no significant difference among complication (P = 0.25), hospitalization (P = 0.31) and survival (P = 0.84) at 5.5 cm length cut off. CONCLUSIONS: The length of transplanted ureter does not affect the postoperative urologic complications (including urinary fistula and ureter-to-bladder anastomosis stricture), and it seems that decreased rate of complication frequency during the recent years is due to technical improvement, surgeon’s skillfulness and development in use of immunosuppressant’s postoperatively. Kowsar 2013-08-03 2013-09 /pmc/articles/PMC3842558/ /pubmed/24350086 http://dx.doi.org/10.5812/numonthly.10881 Text en Copyright © 2013, Nephrology and Urology Research Center http://creativecommons.org/licenses/by/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Ali-Asgari, Majid Dadkhah, Farid Ghadian, Alireza Nourbala, Mohammad Hossein Impact of Ureteral Length on Urological Complications and Patient Survival After Kidney Transplantation |
title | Impact of Ureteral Length on Urological Complications and Patient Survival After Kidney Transplantation |
title_full | Impact of Ureteral Length on Urological Complications and Patient Survival After Kidney Transplantation |
title_fullStr | Impact of Ureteral Length on Urological Complications and Patient Survival After Kidney Transplantation |
title_full_unstemmed | Impact of Ureteral Length on Urological Complications and Patient Survival After Kidney Transplantation |
title_short | Impact of Ureteral Length on Urological Complications and Patient Survival After Kidney Transplantation |
title_sort | impact of ureteral length on urological complications and patient survival after kidney transplantation |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3842558/ https://www.ncbi.nlm.nih.gov/pubmed/24350086 http://dx.doi.org/10.5812/numonthly.10881 |
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