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Kidney transplant grafts with complete ureteral duplication.
- Source :
-
Experimental and clinical transplantation : official journal of the Middle East Society for Organ Transplantation [Exp Clin Transplant] 2013 Dec; Vol. 11 (6), pp. 507-9. - Publication Year :
- 2013
-
Abstract
- Objectives: To evaluate the outcome of renal transplants using donor grafts with complete ureteral duplication.<br />Materials and Methods: Between 1999 and 2011, we performed 1368 kidney transplant procedures, including 87 dual kidney transplants. There were 12 transplants with donor kidneys that had complete ureteral duplication, including 2 patients who had grafts with ureteral duplication that were used to perform a dual kidney transplant. In 11 patients with ureteral duplication, the 2 ureters were anastomosed separately to the bladder with a double Lich-Gregoir technique; in 1 patient, a ureteroureteral terminolateral anastomosis and single ureteroneocystostomy were performed.<br />Results: Urinary tract infections were noted during the first year after transplant in 7 patients (58%) that had kidney grafts with duplicated ureters (4 patients with 1 infection each; 3 patients with 2 infections each), but none developed pyelonephritis, functional impairment, or graft loss. There were no other urologic or renal complications observed in recipients of grafts with ureteral duplication.<br />Conclusions: Donor kidneys with ureteral duplication may be used in renal transplant. The double Lich-Gregoir technique may provide excellent results.
Details
- Language :
- English
- ISSN :
- 2146-8427
- Volume :
- 11
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Experimental and clinical transplantation : official journal of the Middle East Society for Organ Transplantation
- Publication Type :
- Academic Journal
- Accession number :
- 24344943
- Full Text :
- https://doi.org/10.6002/ect.2013.0065