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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...

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Autores principales: Soylu, Lutfi, Aydin, Oguz Ugur, Atli, Muzaffet, Gunt, Ceren, Ekmekci, Yakup, Cekmen, Nedim, Karademir, Sedat
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2018
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.
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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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