Duplicated Ureters in Transplantation—A Single-center, Retrospective Study

• Published in: Transplantation proceedings Vol. 50; no. 6; pp. 1662 - 1668
• Main Authors: Surowiecka-Pastewka, A., Matejak-Górska, M., Frączek, M., Durlik, M.
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.07.2018
• Subjects: Adult; Humans; Kidney Failure, Chronic - surgery; Kidney Transplantation - adverse effects; Kidney Transplantation - instrumentation; Kidney Transplantation - methods; Male; Middle Aged; Reoperation - statistics & numerical data; Retrospective Studies; Stents; Treatment Outcome; Ureter - abnormalities; Ureter - surgery; Ureterostomy - adverse effects; Ureterostomy - instrumentation; Ureterostomy - methods
• ISSN: 0041-1345; 1873-2623
• DOI: 10.1016/j.transproceed.2018.02.103

Kidney transplantation remains the best therapeutic option for chronic renal failure. The objective of the study was to evaluate the impact of ureteral duplication in donor kidneys on transplantation outcome. In this study we performed a retrospective analysis of 75 patients who had undergone renal transplantation. The evaluated parameters included frequency of occurrence and risk of reoperation and graftectomy, mortality, as well as dependency of early and long-term graft function on pyelocaliceal system duplication. Ureteral duplication was associated with more frequent double J stent catheter implantation (P < .05). There was no relationship detected between ureteral duplication, number of operations performed, and risk of graftectomy (P > .05). Early graft function with 2 ureters was similar to that of grafts with a single pyelocaliceal system. The long-term results were also comparable. Ureteral duplication should not be considered a contraindication for renal transplantation. •Ureter anomalies are a rare anatomic anomaly (5% of population) but are more often recognized during kidney transplantation and, with some research, can determine transplantation outcomes.•The aim of the study was to assess the impact of ureter anomalies on outcome in kidney transplantation.•Another goal was to verify whether a duplicate ureter system correlates with higher mortality and infectious complication risk.