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Native ureteroureterostomy in renal allograft recipient surgery: A single-center 5-year experience

INTRODUCTION: In renal transplant, surgeons use a myriad of ureteral anastomotic techniques. Although ureteroneocystostomy (UNC) using Lich-Gregoir extravesical anastomosis is used most commonly, ureteroureterostomy with native ureter has its own importance in certain situations. MATERIALS AND METHO...

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Autores principales: Tyagi, Vipin, Jain, Saurabh, Singh, Mahendra, Pahwa, Mrinal, Chadha, Sudhir, Rasool, Shahnawaz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6639987/
https://www.ncbi.nlm.nih.gov/pubmed/31367074
http://dx.doi.org/10.4103/iju.IJU_20_18
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author Tyagi, Vipin
Jain, Saurabh
Singh, Mahendra
Pahwa, Mrinal
Chadha, Sudhir
Rasool, Shahnawaz
author_facet Tyagi, Vipin
Jain, Saurabh
Singh, Mahendra
Pahwa, Mrinal
Chadha, Sudhir
Rasool, Shahnawaz
author_sort Tyagi, Vipin
collection PubMed
description INTRODUCTION: In renal transplant, surgeons use a myriad of ureteral anastomotic techniques. Although ureteroneocystostomy (UNC) using Lich-Gregoir extravesical anastomosis is used most commonly, ureteroureterostomy with native ureter has its own importance in certain situations. MATERIALS AND METHODS: We retrospectively reviewed records of patients who underwent renal transplantation at our center from March 2011 to February 2016. Records of patients who underwent ureteroureterostomy with the native ureter were reviewed for the indications and complications of the procedure. RESULTS: Of 1050 renal transplants during the study period, 32 patients underwent native ureteroureterostomy. Among these 32 patients, 20 patients were planned preoperatively for native ureteroureterostomy (elective), and intraoperative decision was made in 12 patients (emergency). On follow-up, only one patient had ureteral obstruction due to kink just distal to ureteroureterostomy and was managed by double-J stenting. Other patients had an expected postoperative course. CONCLUSION: In our experience, ureteroureterostomy with native ureter is technically and functionally good option for ureteric reimplantation in kidney transplant patients. It can be used selectively for elective and emergency situations where UNC is not possible. Hence, the kidney transplant surgeon should be well versed with both techniques.
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spelling pubmed-66399872019-07-31 Native ureteroureterostomy in renal allograft recipient surgery: A single-center 5-year experience Tyagi, Vipin Jain, Saurabh Singh, Mahendra Pahwa, Mrinal Chadha, Sudhir Rasool, Shahnawaz Indian J Urol Original Article INTRODUCTION: In renal transplant, surgeons use a myriad of ureteral anastomotic techniques. Although ureteroneocystostomy (UNC) using Lich-Gregoir extravesical anastomosis is used most commonly, ureteroureterostomy with native ureter has its own importance in certain situations. MATERIALS AND METHODS: We retrospectively reviewed records of patients who underwent renal transplantation at our center from March 2011 to February 2016. Records of patients who underwent ureteroureterostomy with the native ureter were reviewed for the indications and complications of the procedure. RESULTS: Of 1050 renal transplants during the study period, 32 patients underwent native ureteroureterostomy. Among these 32 patients, 20 patients were planned preoperatively for native ureteroureterostomy (elective), and intraoperative decision was made in 12 patients (emergency). On follow-up, only one patient had ureteral obstruction due to kink just distal to ureteroureterostomy and was managed by double-J stenting. Other patients had an expected postoperative course. CONCLUSION: In our experience, ureteroureterostomy with native ureter is technically and functionally good option for ureteric reimplantation in kidney transplant patients. It can be used selectively for elective and emergency situations where UNC is not possible. Hence, the kidney transplant surgeon should be well versed with both techniques. Wolters Kluwer - Medknow 2019 /pmc/articles/PMC6639987/ /pubmed/31367074 http://dx.doi.org/10.4103/iju.IJU_20_18 Text en Copyright: © 2019 Indian Journal of Urology http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Tyagi, Vipin
Jain, Saurabh
Singh, Mahendra
Pahwa, Mrinal
Chadha, Sudhir
Rasool, Shahnawaz
Native ureteroureterostomy in renal allograft recipient surgery: A single-center 5-year experience
title Native ureteroureterostomy in renal allograft recipient surgery: A single-center 5-year experience
title_full Native ureteroureterostomy in renal allograft recipient surgery: A single-center 5-year experience
title_fullStr Native ureteroureterostomy in renal allograft recipient surgery: A single-center 5-year experience
title_full_unstemmed Native ureteroureterostomy in renal allograft recipient surgery: A single-center 5-year experience
title_short Native ureteroureterostomy in renal allograft recipient surgery: A single-center 5-year experience
title_sort native ureteroureterostomy in renal allograft recipient surgery: a single-center 5-year experience
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6639987/
https://www.ncbi.nlm.nih.gov/pubmed/31367074
http://dx.doi.org/10.4103/iju.IJU_20_18
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