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CURRENT ISSUEMINERVA UROLOGICA E NEFROLOGICA

A Journal on Nephrology and Urology


Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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Minerva Urologica e Nefrologica 2002 March;54(1):9-13

 ORIGINAL ARTICLES

The use of the small caliber JJ stent with anti-reflux valve in double kidney transplant. Personal experience

Lasaponara F., Manassero F., Catti M., Rossi R., Ferrando U.

From the U.O.A. Urologia 3, Molinette Hospital Turin, Italy

Back­ground. In the expe­ri­ence of oth­er ­authors, dou­ble kid­ney trans­plant ­have a high­er com­pli­ca­tion ­rate (30%) if com­pared ­with sin­gle ­renal ­graft. In per­son­al expe­ri­ence the use of ­small cal­i­bre uret­er­al ­stents ­with anti­re­flux ­valve can ­reduce ­this com­pli­ca­tion ­rate.
Meth­ods. ­From Novem­ber 1999 to ­April 2001, at the A.S.O. S. Gio­van­ni Bat­tis­ta in ­Turin, we per­formed 29 dou­ble kid­ney trans­plan­ta­tions ­with the appli­ca­tion of ­small cal­i­bre ­stents in 20 ­male and 9 ­female ­patients, ­aged 50-74 ­years. The ure­te­ro-neo­cys­tos­to­mies ­were car­ried out accord­ing to ­Lich-Gre­goire tech­nique, and the JJ ­stents ­used ­were ped­i­at­ric ­ones, 12 cm ­long and 4.8 Ch, ­with anti­re­flux ­valve.
­Results. We com­plained ­only 2 uro­log­i­cal com­pli­ca­tions out of 58 ­anas­to­mos­es (dis­tal uni­lat­er­al uret­er­al necro­sis in 1 ­case and ­total uret­er­al necro­sis in the oth­er).
Con­clu­sions. Com­pli­ca­tion ­rate is low­er ­than in the lit­er­a­ture: the ­authors sug­gest ­that the use of ­small cal­i­bre JJ ­stents can ­keep the com­pli­ca­tion ­rate low in dou­ble kid­ney trans­plant.

language: English, Italian


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