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Does early removal of double J stents reduce urinary infection in living donor renal transplantation?
INTRODUCTION: Prophylactic use of double J (DJ) stents in recipients is highly accepted in renal transplantation. In this study, the association between the frequency of urologic complications (UC) and urinary tract infections (UTI), and the early or late removal of DJ stents was investigated. MATER...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Termedia Publishing House
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6425203/ https://www.ncbi.nlm.nih.gov/pubmed/30899293 http://dx.doi.org/10.5114/aoms.2018.73524 |
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author | Soylu, Lutfi Aydin, Oguz Ugur Atli, Muzaffet Gunt, Ceren Ekmekci, Yakup Cekmen, Nedim Karademir, Sedat |
author_facet | Soylu, Lutfi Aydin, Oguz Ugur Atli, Muzaffet Gunt, Ceren Ekmekci, Yakup Cekmen, Nedim Karademir, Sedat |
author_sort | Soylu, Lutfi |
collection | PubMed |
description | INTRODUCTION: Prophylactic use of double J (DJ) stents in recipients is highly accepted in renal transplantation. In this study, the association between the frequency of urologic complications (UC) and urinary tract infections (UTI), and the early or late removal of DJ stents was investigated. MATERIAL AND METHODS: A total of 116 live-donor renal transplant patients were included in the study during a 4-year period, with a mean follow-up of 29.2 ±15.3 months. In all, DJ stents were used. All patients were clinically monitored for graft function by assessment of the complete blood count, renal biochemistry, urine analysis and blood drug level according to our follow-up protocol. RESULTS: The patients were divided into 2 groups according to the time of their stent removal: group I (n = 44), removal within the first 14 days; and group II (n = 72), removal after 14 days. No urinary leaks were detected in either of the groups. Three patients suffered from anastomotic stricture (group I, n = 1; group II, n = 2). The rates of UTI were similar in groups I and II (13.6% vs. 16.6%, respectively, p = 0.79). The rate of UTI in women was found to be 3.8 times higher than in men. CONCLUSIONS: The results of our study demonstrated that DJ stent removal within 14 days did not reduce the risk of UTI when compared to stent removal after 14 days. Similar effects on complication rates for ureteral stenting for these 2 removal periods were observed. |
format | Online Article Text |
id | pubmed-6425203 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Termedia Publishing House |
record_format | MEDLINE/PubMed |
spelling | pubmed-64252032019-03-21 Does early removal of double J stents reduce urinary infection in living donor renal transplantation? Soylu, Lutfi Aydin, Oguz Ugur Atli, Muzaffet Gunt, Ceren Ekmekci, Yakup Cekmen, Nedim Karademir, Sedat Arch Med Sci Clinical Research INTRODUCTION: Prophylactic use of double J (DJ) stents in recipients is highly accepted in renal transplantation. In this study, the association between the frequency of urologic complications (UC) and urinary tract infections (UTI), and the early or late removal of DJ stents was investigated. MATERIAL AND METHODS: A total of 116 live-donor renal transplant patients were included in the study during a 4-year period, with a mean follow-up of 29.2 ±15.3 months. In all, DJ stents were used. All patients were clinically monitored for graft function by assessment of the complete blood count, renal biochemistry, urine analysis and blood drug level according to our follow-up protocol. RESULTS: The patients were divided into 2 groups according to the time of their stent removal: group I (n = 44), removal within the first 14 days; and group II (n = 72), removal after 14 days. No urinary leaks were detected in either of the groups. Three patients suffered from anastomotic stricture (group I, n = 1; group II, n = 2). The rates of UTI were similar in groups I and II (13.6% vs. 16.6%, respectively, p = 0.79). The rate of UTI in women was found to be 3.8 times higher than in men. CONCLUSIONS: The results of our study demonstrated that DJ stent removal within 14 days did not reduce the risk of UTI when compared to stent removal after 14 days. Similar effects on complication rates for ureteral stenting for these 2 removal periods were observed. Termedia Publishing House 2018-02-15 2019-03 /pmc/articles/PMC6425203/ /pubmed/30899293 http://dx.doi.org/10.5114/aoms.2018.73524 Text en Copyright: © 2018 Termedia & Banach http://creativecommons.org/licenses/by-nc-sa/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license. |
spellingShingle | Clinical Research Soylu, Lutfi Aydin, Oguz Ugur Atli, Muzaffet Gunt, Ceren Ekmekci, Yakup Cekmen, Nedim Karademir, Sedat Does early removal of double J stents reduce urinary infection in living donor renal transplantation? |
title | Does early removal of double J stents reduce urinary infection in living donor renal transplantation? |
title_full | Does early removal of double J stents reduce urinary infection in living donor renal transplantation? |
title_fullStr | Does early removal of double J stents reduce urinary infection in living donor renal transplantation? |
title_full_unstemmed | Does early removal of double J stents reduce urinary infection in living donor renal transplantation? |
title_short | Does early removal of double J stents reduce urinary infection in living donor renal transplantation? |
title_sort | does early removal of double j stents reduce urinary infection in living donor renal transplantation? |
topic | Clinical Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6425203/ https://www.ncbi.nlm.nih.gov/pubmed/30899293 http://dx.doi.org/10.5114/aoms.2018.73524 |
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