Lower ureteral obstruction and leakage in the first month following renal transplantation
Joint Authors
Rifat, Usamah Nihad
Abd al-Muhsin, Usamah Sadi
al-Nusayri, Usamah S.
Source
al-Kindy College Medical Journal
Issue
Vol. 4, Issue 1 (30 Jun. 2007), pp.47-52, 6 p.
Publisher
University of Baghdad al-Kindi College of Medicine
Publication Date
2007-06-30
Country of Publication
Iraq
No. of Pages
6
Main Subjects
Topics
Abstract EN
Background : Transplantation has revolutionized treatment of end- stage renal disease (ESRD) by proving more cost effective than hemodialysis, with a lower morbidity and improved quality of life.
Objective : To evaluate the development of these complications in the first month postoperatively and correlate their development to the type of donation whether related or unrelated.
Methods : Fifty (50) patients aged (15-62) years, with a mean age (34.46 ± 12.4 SD) years with (ESRD), who underwent renal transplantation from September 2000 to October 2002, were followed-up for one month postoperatively clinically and by assessment of renal function tests, sonographic and Doppler examinations.
Ureteral obstruction was considered in those patients who had allograft dysfunction, ultrasonic evidence of peritransplant collection, moderate-severe dilatation of upper urinary tract of transplanted kidney and postoperative ipsilateral or bilateral leg edema.
Ureteral leakage was considered in those patients who had persistent drainage of urine with or without allograft dysfunction.
Two patients were excluded from the followup due to death in the first 24-hour postoperatively.
Results : Six (6) patients (12.
5 % of cases) developed ureteral obstruction due to peri-ureteral fluid collection.
In five patients the collection decreased and upper urinary tract dilatation improved gradually, as shown by ultrasound, on watchful waiting.
One patient had surgical evacuation of a large hematoma.
Four (4) patients (8.
3 % of cases) developed ureteral leakage.
The leakage stopped in one patient after keeping the urethral catheter for a longer period.
Three patients had surgical exploration due to persistent urinary leakage.
Redo implantation of allograft ureter was done in two cases.
Development of ureteral complications was compared with the type of donation (related or unrelated).
The comparison was not statistically significant.
Conclusions : The development of ureteral complications in not related to the type of donation.
Extravesical ureteral anastamosis with the use of a stent is less likely to be associated with postoperative ureteral complications.
American Psychological Association (APA)
Abd al-Muhsin, Usamah Sadi& al-Nusayri, Usamah S.& Rifat, Usamah Nihad. 2007. Lower ureteral obstruction and leakage in the first month following renal transplantation. al-Kindy College Medical Journal،Vol. 4, no. 1, pp.47-52.
https://search.emarefa.net/detail/BIM-340185
Modern Language Association (MLA)
al-Nusayri, Usamah S.…[et al.]. Lower ureteral obstruction and leakage in the first month following renal transplantation. al-Kindy College Medical Journal Vol. 4, no. 1 (2007), pp.47-52.
https://search.emarefa.net/detail/BIM-340185
American Medical Association (AMA)
Abd al-Muhsin, Usamah Sadi& al-Nusayri, Usamah S.& Rifat, Usamah Nihad. Lower ureteral obstruction and leakage in the first month following renal transplantation. al-Kindy College Medical Journal. 2007. Vol. 4, no. 1, pp.47-52.
https://search.emarefa.net/detail/BIM-340185
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 51-52
Record ID
BIM-340185