Urologic Complications in 1523 Renal Transplantations: The Baskent University Experience
Urologic complications, observed since the beginning of renal transplantation, cause significant morbidity and mortality. In the first few years the procedure was performed, incidence of urologic complications was reported to be 10% to 25%. Recently, the incidence of urologic complications after ren...
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Published in | Transplantation proceedings Vol. 38; no. 2; pp. 543 - 547 |
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Main Authors | , , , , , |
Format | Journal Article Conference Proceeding |
Language | English |
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Elsevier Inc
01.03.2006
Elsevier Science |
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Abstract | Urologic complications, observed since the beginning of renal transplantation, cause significant morbidity and mortality. In the first few years the procedure was performed, incidence of urologic complications was reported to be 10% to 25%. Recently, the incidence of urologic complications after renal transplantation has decreased to 2.5% to 12.5%; unfortunately, a higher incidence exists in pediatric recipients, reaching approximately 20% with an associated 58% and 74% graft survival rates for cadaveric and living-related transplantation, respectively.
We retrospectively analyzed the postoperative urologic complications reported in the medical charts of 1523 consecutive kidney transplantations (1130 men, 74.2%; 393 women, 25.8%; mean age, 31.9 ± 10.9 years; range, 7 to 64 years; 354 cadaveric, 23.2%; 1169 living, 76.8%) performed by our team since 1975. The first 321 procedures took place at Hacettepe University Hospital in Ankara, Turkey, and the remaining 1202 were performed at Baskent University Hospital in Ankara.
Urologic complications occurred in 46 (3%) recipients. Twenty-three (1.5%) of these patients had urine leakage, 15 (1%) had urinary obstruction due to ureteral stricture, 6 (0.4%) had distal ureter necrosis, and 2 (0.1%) developed renal calculi in the late postoperative period. Twenty-four out of 46 required reoperation for urologic complications. The remaining 22 patients were treated conservatively in our interventional radiology department with excellent results.
In conclusion, urologic complications will always occur in the posttransplant period. Early diagnosis by experienced personnel and use of interventional radiology can greatly reduce the need for surgical treatment. |
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AbstractList | Urologic complications, observed since the beginning of renal transplantation, cause significant morbidity and mortality. In the first few years the procedure was performed, incidence of urologic complications was reported to be 10% to 25%. Recently, the incidence of urologic complications after renal transplantation has decreased to 2.5% to 12.5%; unfortunately, a higher incidence exists in pediatric recipients, reaching approximately 20% with an associated 58% and 74% graft survival rates for cadaveric and living-related transplantation, respectively. We retrospectively analyzed the postoperative urologic complications reported in the medical charts of 1523 consecutive kidney transplantations (1130 men, 74.2%; 393 women, 25.8%; mean age, 31.9 +/- 10.9 years; range, 7 to 64 years; 354 cadaveric, 23.2%; 1169 living, 76.8%) performed by our team since 1975. The first 321 procedures took place at Hacettepe University Hospital in Ankara, Turkey, and the remaining 1202 were performed at Baskent University Hospital in Ankara. Urologic complications occurred in 46 (3%) recipients. Twenty-three (1.5%) of these patients had urine leakage, 15 (1%) had urinary obstruction due to ureteral stricture, 6 (0.4%) had distal ureter necrosis, and 2 (0.1%) developed renal calculi in the late postoperative period. Twenty-four out of 46 required reoperation for urologic complications. The remaining 22 patients were treated conservatively in our interventional radiology department with excellent results. In conclusion, urologic complications will always occur in the posttransplant period. Early diagnosis by experienced personnel and use of interventional radiology can greatly reduce the need for surgical treatment. Urologic complications, observed since the beginning of renal transplantation, cause significant morbidity and mortality. In the first few years the procedure was performed, incidence of urologic complications was reported to be 10% to 25%. Recently, the incidence of urologic complications after renal transplantation has decreased to 2.5% to 12.5%; unfortunately, a higher incidence exists in pediatric recipients, reaching approximately 20% with an associated 58% and 74% graft survival rates for cadaveric and living-related transplantation, respectively. We retrospectively analyzed the postoperative urologic complications reported in the medical charts of 1523 consecutive kidney transplantations (1130 men, 74.2%; 393 women, 25.8%; mean age, 31.9 ± 10.9 years; range, 7 to 64 years; 354 cadaveric, 23.2%; 1169 living, 76.8%) performed by our team since 1975. The first 321 procedures took place at Hacettepe University Hospital in Ankara, Turkey, and the remaining 1202 were performed at Baskent University Hospital in Ankara. Urologic complications occurred in 46 (3%) recipients. Twenty-three (1.5%) of these patients had urine leakage, 15 (1%) had urinary obstruction due to ureteral stricture, 6 (0.4%) had distal ureter necrosis, and 2 (0.1%) developed renal calculi in the late postoperative period. Twenty-four out of 46 required reoperation for urologic complications. The remaining 22 patients were treated conservatively in our interventional radiology department with excellent results. In conclusion, urologic complications will always occur in the posttransplant period. Early diagnosis by experienced personnel and use of interventional radiology can greatly reduce the need for surgical treatment. |
Author | Moray, G. Haberal, M. Emiroglu, R. Dalgic, A. Boyvat, F. Karakayali, H. |
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Keywords | Medicine Experience Urinary system disease Treatment Urinary system University Surgery Complication Graft Homotransplantation Kidney Kidney transplantation |
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References_xml | – volume: 112 start-page: 564 year: 1974 ident: bib7 article-title: Urological complications in renal transplantation publication-title: J Urol contributor: fullname: Lindsey – volume: 153 start-page: 18 year: 1995 ident: bib13 article-title: Urological complications in 1,000 consecutive renal transplant recipients publication-title: J Urol contributor: fullname: Cranston – volume: 36 start-page: 143S year: 2004 ident: bib10 article-title: The impact of cyclosporine on the development of immunosuppressive therapy publication-title: Transplant Proc contributor: fullname: Dalgic – volume: 16 start-page: 27 year: 2005 ident: bib11 article-title: Corner saving ureteral reimplantation technique without using stent publication-title: Dialysis Transplant Burn contributor: fullname: Emiroǧlu – volume: 33 start-page: 2016 year: 2001 ident: bib3 article-title: Urologic complications in 1275 consecutive renal transplantations publication-title: Transplant Proc contributor: 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10.1016/S0955-470X(97)80001-8 contributor: fullname: Salvatierra – volume: 95 start-page: 297 year: 1984 ident: 10.1016/j.transproceed.2005.12.116_bib2 article-title: Urologic complications in 718 renal transplant patients publication-title: Surgery contributor: fullname: Loughlin – ident: 10.1016/j.transproceed.2005.12.116_bib5 – volume: 36 start-page: 143S issue: 2 Suppl year: 2004 ident: 10.1016/j.transproceed.2005.12.116_bib10 article-title: The impact of cyclosporine on the development of immunosuppressive therapy publication-title: Transplant Proc doi: 10.1016/j.transproceed.2003.12.028 contributor: fullname: Haberal – volume: 62 start-page: 831 year: 2003 ident: 10.1016/j.transproceed.2005.12.116_bib14 article-title: Treatment of renal transplant ureterovesical anastomotic strictures using antegrade balloon dilation with or without holmium publication-title: Urology doi: 10.1016/S0090-4295(03)00655-1 contributor: fullname: Kristo – volume: 53 start-page: 397 year: 1981 ident: 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Starzl – volume: 112 start-page: 564 year: 1974 ident: 10.1016/j.transproceed.2005.12.116_bib7 article-title: Urological complications in renal transplantation publication-title: J Urol doi: 10.1016/S0022-5347(17)59794-3 contributor: fullname: Colfry – volume: 4 start-page: 1889 year: 2004 ident: 10.1016/j.transproceed.2005.12.116_bib15 article-title: Stented versus nonstented extravesical ureteroneocystostomy in renal transplantation publication-title: Am J Transplant doi: 10.1111/j.1600-6143.2004.00595.x contributor: fullname: Mangus – volume: 11 start-page: 137 year: 1998 ident: 10.1016/j.transproceed.2005.12.116_bib6 article-title: Surgical complications of kidney transplantation publication-title: J Nephrol contributor: fullname: Beyga – volume: 8 start-page: 504 year: 1994 ident: 10.1016/j.transproceed.2005.12.116_bib9 article-title: Complications of ureterovesical anastomosis in kidney transplant patients publication-title: Clin Transplant contributor: fullname: Hakim – volume: 35 start-page: 2685 year: 2003 ident: 10.1016/j.transproceed.2005.12.116_bib12 article-title: Urinary tract infections in renal transplant recipients publication-title: Transplant Proc doi: 10.1016/j.transproceed.2003.08.036 contributor: fullname: Ergin – volume: 153 start-page: 18 year: 1995 ident: 10.1016/j.transproceed.2005.12.116_bib13 article-title: Urological complications in 1,000 consecutive renal transplant recipients publication-title: J Urol doi: 10.1097/00005392-199501000-00008 contributor: fullname: Shoskes |
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SubjectTerms | Adolescent Adult Biological and medical sciences Child Female Fundamental and applied biological sciences. Psychology Fundamental immunology Graft Survival Humans Immunosuppression - methods Incidence Kidney Transplantation - adverse effects Kidney Transplantation - immunology Kidney Transplantation - methods Living Donors Male Medical sciences Middle Aged Retrospective Studies Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the urinary system Tissue, organ and graft immunology Ureteral Diseases - epidemiology Urologic Diseases - classification Urologic Diseases - epidemiology Urologic Diseases - etiology |
Title | Urologic Complications in 1523 Renal Transplantations: The Baskent University Experience |
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