Is Removal of the Stent at the End of 2 Weeks Helpful to Reduce Infectous or Urologic Complications After Renal Transplantation?

Coşkun, Ali; Harlak, Ali; Özer, Tahir; Eyitilen, T.; Yiğit, Taner; Demirbaş, Sezai; Uzar, Ali İhsan; Kozak, Orhan; Çetiner, Sadettin

doi:10.1016/j.transproceed.2010.11.016

Cited by 21 publications

(32 citation statements)

References 13 publications

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“…Coskun et al [14] stressed that early removal of the stent, 2 weeks after renal transplantation, decreased the rate of urinary tract infections. Our study yielded similar results: the longer the duration of stenting, the higher the rate of colonisation (2.2% for stents left for <4 Weeks vs. 27.9% for those left for >4 weeks).…”

Section: Discussionmentioning

confidence: 99%

Observation of Double J Stent Bacterial Colonisation and Its Correlation With Bacteriuria Frequency

Garg¹,

Mishra²,

Bharti³

et al. 2017

jemds

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BACKGROUND Stents and catheters are widely used in Urology. In this study, we identified the incidence of DJ stent bacterial colonisation and its correlation with bacteriuria frequency. MATERIALS AND METHODSBetween January 2015 and June 2016, 170 patients (17 to 72 years old) who underwent DJ stenting were enrolled in the study. Surgeries prior to stenting included PCNL, URS, Pyeloplasty, Pyelolithotomy and Ureterolithotomy. Prior to stenting, sterile urine samples were obtained, and urinary cultures were performed upon removal of the DJ stents along with stent culture. Eighty-three stents were inserted into the right ureter and eighty-seven into the left ureter of the patients. RESULTSCultures showed bacterial colonisation in 27 (16%) cases. There was no significant association between positive stent culture and patient age, sex or stent laterality. The rate of colonisation was 2.2%, 2.9%, and 25% when indwelling time was less than 4 weeks, 4-6 weeks, and more than 6 weeks, respectively. In the present study, the rate of infection associated with a DJ stent and urinary infection was not very high. However, bacterial colonisation increases significantly with indwelling time of the stent and sterile culture of urine does not rule out colonisation of the stent. CONCLUSIONBacteriological investigation showed very low rates of colonisation within 6 weeks after the insertion of stents, indicating that ureteral stents can be used safely within that time period. Bacterial colonisation is associated with increased chances of bacteriuria frequency. KEYWORDS BACKGROUNDAs the field of Endourology has developed, a great variety of foreign bodies have been designed, and with the increasing number of biomaterial devices used in Urology, biofilm formation and device infection are issues of growing importance. [1] In the present study, the frequency of colonisation on double J (DJ) stents and stent-associated bacteriuria was investigated. We aimed to compare the relationship between the colonisation of the bladder urine and that on the DJ stents that have been inserted for various reasons. We investigated the importance of indwelling time for infection and antimicrobial susceptibility pattern of isolates in order to establish data on the aetiologic agents of Colonised stents and evaluate the significance of urinary cultures for the identification of colonising microorganisms.

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Section: Discussionmentioning

confidence: 99%

Observation of Double J Stent Bacterial Colonisation and Its Correlation With Bacteriuria Frequency

Garg¹,

Mishra²,

Bharti³

et al. 2017

jemds

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“…However, it has been reported that removing the DJ stents earlier than this may result in a decreased risk of complications such as UTI and persistent hematuria, which would also reduce the hospitalization duration as well [9]. However, the ideal timing for DJ stent removal is still controversial and the exact time has not yet been determined [10][11][12][13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Does early removal of double J stents reduce urinary infection in living donor renal transplantation?

Soylu¹,

Aydın²,

Atli³

et al. 2019

aoms

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A b s t r a c tIntroduction: Prophylactic use of double J (DJ) stents in recipients is highly accepted in renal transplantation. In this study, the association between the frequency of urologic complications (UC) and urinary tract infections (UTI), and the early or late removal of DJ stents was investigated. Material and methods: A total of 116 live-donor renal transplant patients were included in the study during a 4-year period, with a mean follow-up of 29.2 ±15.3 months. In all, DJ stents were used. All patients were clinically monitored for graft function by assessment of the complete blood count, renal biochemistry, urine analysis and blood drug level according to our follow-up protocol. Results: The patients were divided into 2 groups according to the time of their stent removal: group I (n = 44), removal within the first 14 days; and group II (n = 72), removal after 14 days. No urinary leaks were detected in either of the groups. Three patients suffered from anastomotic stricture (group I, n = 1; group II, n = 2). The rates of UTI were similar in groups I and II (13.6% vs. 16.6%, respectively, p = 0.79). The rate of UTI in women was found to be 3.8 times higher than in men. Conclusions:The results of our study demonstrated that DJ stent removal within 14 days did not reduce the risk of UTI when compared to stent removal after 14 days. Similar effects on complication rates for ureteral stenting for these 2 removal periods were observed.

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“…7 Several methods have been introduced to simplify double J stent removal after kidney transplant. Early removal of stent, 8 simple removal of stent using a hanging knot, 9 and attaching the double J stent to the Foley catheter are some of these innovations. In the latter method, both the Foley catheter and double J stent are removed simultaneously at a specific time.…”

Section: Introductionmentioning

confidence: 99%

Untitled

2016

Exp Clin Transplant

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Objectives: Inserting a double J stent during kidney transplant has reduced the rate of urologic complications. Traditionally, a double J stent is removed via endoscopic intervention. Here, we assessed the safety and efficacy of a nonoperative method for double J stent removal. Materials and Methods: Our study group included 200 consecutive patients who underwent kidney transplant from January 2013 to April 2014. Group A consisted of 100 recipients who had a double J stent that was tied to a Foley catheter with 2-0 silk suture. The stent was simply removed by taking out the Foley catheter after 3 weeks. Patients in group A were compared with a second group of 100 kidney transplant patients whose stents were removed endoscopically 3 weeks later (group B). Results: Patients were matched between the 2 groups regarding age distribution, male-to-female patient ratio, deceased versus living donor graft, prevalence of type 2 diabetes mellitus, and body mass index. The incidence of urinary fistula (3% in group A and 4% in group B; P = .7), ureteral stenosis (1% in group A and 2% in group B; P = .56), wound infection (1% in group A and 2% in group B; P = .56), and positive urine culture (20% in group A and 29% in group B; P = .14) after stent removal were not significantly different between the 2 groups. Conclusions: This study shows that nonoperative removal of a double J stent is a safe and effective method. This approach is simple, and there is no need for a surgical procedure or any outpatient surgical intervention.

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Is Removal of the Stent at the End of 2 Weeks Helpful to Reduce Infectous or Urologic Complications After Renal Transplantation?

Cited by 21 publications

References 13 publications

Observation of Double J Stent Bacterial Colonisation and Its Correlation With Bacteriuria Frequency

Observation of Double J Stent Bacterial Colonisation and Its Correlation With Bacteriuria Frequency

Does early removal of double J stents reduce urinary infection in living donor renal transplantation?

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