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

Purohit, Rajveer S.; Bretan, Peter N.

doi:10.1016/s0022-5347(05)67897-4

Cited by 12 publications

(16 citation statements)

References 8 publications

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“…Several centres have reported successful transplantation in patients with long‐standing cutaneous ureterostomies [11,35,36]. Preoperative ureterography will determine the presence of ureteric strictures which could compromise graft function.…”

Section: Surgical Options Using Enteric Segmentsmentioning

confidence: 99%

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Renal transplantation into the abnormal lower urinary tract

2003

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Section: Surgical Options Using Enteric Segmentsmentioning

confidence: 99%

“…The native kidney or kidneys are usually removed with the proximal ureter because of the risk of pyelonephritis. The transplant ureter is spatulated and anastomosed to the distal segment or the most appropriate segment of the native ureter posterior to the abdominal wall [11,35,36].…”

Section: Surgical Options Using Enteric Segmentsmentioning

confidence: 99%

Renal transplantation into the abnormal lower urinary tract

2003

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“…[15][16][17] 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. 18 The two patients in this series with ureterostomy stenosis had stenosis at the fascial level, rather than the skin level. often difficult yet very essential.…”

Section: Discussionmentioning

confidence: 81%

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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“…[17–19] Available data suggests that a preexisting native cutaneous ureterostomy may serve as a conduit for graft ureteral drainage in select patients with excellent long-term function. We had an experience of solitary kidney patient where pretransplant cystectomy was done for recurrent pyocystitis.…”

Section: Peritransplant Managementmentioning

confidence: 99%

Kidney transplantation in abnormal bladder

Mishra¹,

Muthu²,

Rajapurkar³

et al. 2007

Indian J Urol

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Structural urologic abnormalities resulting in dysfunctional lower urinary tract leading to end stage renal disease may constitute 15% patients in the adult population and up to 20-30% in the pediatric population. A patient with an abnormal bladder, who is approaching end stage renal disease, needs careful evaluation of the lower urinary tract to plan the most satisfactory technical approach to the transplant procedure. Past experience of different authors can give an insight into the management and outcome of these patients. This review revisits the current literature available on transplantation in abnormal bladder and summarizes the clinical approach towards handling this group of difficult transplant patients. We add on our experience as we discuss the various issues. The outcome of renal transplant in abnormal bladder is not adversely affected when done in a reconstructed bladder. Correct preoperative evaluation, certain technical modification during transplant and postoperative care is mandatory to avoid complications. Knowledge of the abnormal bladder should allow successful transplantation with good outcome.

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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 12 publications

References 8 publications

Renal transplantation into the abnormal lower urinary tract

Renal transplantation into the abnormal lower urinary tract

Ureterostomy as an alternative to ileal conduits in pediatric kidney transplantation

Kidney transplantation in abnormal bladder

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