Successful Long-Term Outcome Using Existing Native Cutaneous Ureterostomy for Renal Transplant Drainage

Purohit, Rajveer S.; Bretan, Peter N.

doi:10.1097/00005392-200002000-00012

Cited by 1 publication

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“…After the initial description of its use in adult kidney transplant patients in 1951, the modification suggested by Lich in 1977 of creating a terminal loop cutaneous ureterostomy has been shown to have long‐term success without stenosis in adult patients and one pediatric patient . In addition, for patients with a pre‐existing cutaneous ureterostomy, an end‐to‐side anastomosis of the transplant ureter to the native ureter is a good alternative . The two patients in this series with ureterostomy stenosis had stenosis at the fascial level, rather than the skin level.…”

Section: Discussionmentioning

confidence: 89%

Ureterostomy as an alternative to ileal conduits in pediatric kidney transplantation

Brubaker

Lee

et al. 2020

Clinical Transplantation

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Introduction Urinary diversion in pediatric renal transplant candidates with bladders not amenable to primary reconstruction can be achieved by pre‐transplant ileal conduit creation. We performed cutaneous ureterostomies to limit pre‐transplant surgery, protect the peritoneum for dialysis, transplant patients sooner, and preserve ureter length for future surgical reconstruction. Methods We compared four pediatric transplant recipients with ureterostomies to four recipients with ileal conduits from 2009 to 2017. Results All patients with ileal conduits developed at least one urinary tract infection (UTI) within 1 year of transplant and three of four patients had recurrent UTIs within the first year. Two patients required ileal conduit revisions for redundant conduits and recurrent UTIs. Of the four ureterostomy patients, two patients had UTIs within one year of transplant. Two patients developed ureterostomy strictures requiring revision at the fascial level; one was associated with a UTI. Conclusion In our small case series, ureterostomy allowed for a single operative intervention with preservation of ureter length for later reconstruction. Ureterostomy is safe and recurrent UTI may be lower in the ureterostomy group. Long‐term evaluation of ureterostomy for urinary diversion in pediatric kidney transplant is warranted.

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Section: Discussionmentioning

confidence: 89%

Ureterostomy as an alternative to ileal conduits in pediatric kidney transplantation

Brubaker

Lee

et al. 2020

Clinical Transplantation

View full text Add to dashboard Cite

show abstract

Successful Long-Term Outcome Using Existing Native Cutaneous Ureterostomy for Renal Transplant Drainage

Abstract: Of the complications that we present only 1 may be attributed to the singularity of our procedure. Our experience suggests that a preexisting native cutaneous ureterostomy may serve as a receptacle for transplant ureteral drainage in select patients with excellent long-term function.

Cited by 1 publication

References 8 publications

Ureterostomy as an alternative to ileal conduits in pediatric kidney transplantation

Ureterostomy as an alternative to ileal conduits in pediatric kidney transplantation

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