Complications Following Unstented Parallel Incision Extra Vesical Ureteroneocystostomy in 1,000 Kidney Transplants
- 1 July 1992
- journal article
- Published by Ovid Technologies (Wolters Kluwer Health) in Journal of Urology
- Vol. 148 (1), 38-40
- https://doi.org/10.1016/s0022-5347(17)36502-3
Abstract
Between May 10, 1982 and September 1, 1990, 1,000 kidney transplant recipients underwent parallel incision extravesical ureteroneocystostomy for urinary tract reconstruction. Complications attributed to this surgical technique that required reoperation occurred in 2.1% of the recipients. These complications included urinary extravasation in 9 patients, ureteral necrosis in 3, ureteral obstruction in 3, ureteral bleeding in 3, ureteral implantation into thickened folds of peritoneum in 2 on chronic ambulatory peritoneal dialysis and ureteral implantation into an ovarian cyst in 1. Vesicoureteral reflux occurred in 0.4% of the ureteroneocystostomies, none of which was revised. No allografts were lost as a result of these complications. The principles of the technique are sound. One should be careful if the patient has a small, defunctionalized or scarred bladder, has undergone multiple pelvic operations or has had pelvic inflammatory disease.Keywords
This publication has 7 references indexed in Scilit:
- Extra Vesical versus Leadbetter-Politano Ureteroneocystostomy: A Comparison of Urological Complications in 320 Renal TransplantsJournal of Urology, 1990
- Experience with Parallel Incision Extravesical Ureteroneocystostomy in Renal TransplantationJournal of Urology, 1985
- Parallel Incision, Unstented Extravesical Ureteroneocystostomy: Followup of 203 Kidney TransplantsJournal of Urology, 1985
- Unstented Extra Vesical Ureteroneocystostomy in Kidney TransplantationJournal of Urology, 1983
- Evaluation of Anterior Extra Vesical Ureteroneocystostomy in Kidney TransplantationJournal of Urology, 1981
- Extra Vesical Ureteroneocystostomy in 170 Renal Transplant PatientsJournal of Urology, 1975
- Recurrent Urosepsis in ChildrenJournal of Urology, 1961