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LIGATION OF THE NATIVE URETER IN RENAL TRANSPLANTATION

2002; Lippincott Williams & Wilkins; Volume: 167; Issue: 1 Linguagem: Inglês

10.1016/s0022-5347(05)65375-x

1527-3792

MICHAEL L. GALLENTINE, Francis H. Wright,

Renal Transplantation Outcomes and Treatments

No AccessJournal of UrologyCLINICAL UROLOGY: Original Articles1 Jan 2002LIGATION OF THE NATIVE URETER IN RENAL TRANSPLANTATION MICHAEL L. GALLENTINE and FRANCIS H. WRIGHT MICHAEL L. GALLENTINEMICHAEL L. GALLENTINE and FRANCIS H. WRIGHTFRANCIS H. WRIGHT View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)65375-XAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Native ureteral ligation may be required in renal transplantation when ureteroureterostomy is performed. Native nephrectomy has been done to avoid the complication of hydronephrosis after native ureteral ligation. We reviewed the records of renal transplant recipients who underwent native ureteral ligation to determine the incidence of post-ligation symptoms and need for native nephrectomy. Materials and Methods: We retrospectively reviewed 1,275 renal transplants performed from January 1986 through September 1999, including 278 cases (22%) of native ureteral ligation. The majority of patients had anuria or oligouria before transplantation, although 3 were not dialysis dependent. Followup was 1 to 140 months. Charts were reviewed for flank pain, infection and the need for native nephrectomy. Results: Six of 278 patients (2.2%) required native nephrectomy 7 to 82 months after transplantation with flank pain as the indication in all. The cause of renal failure was polycystic disease in 3 of the 6 cases, unknown in 2 and diabetes in 1. The patient with diabetes had papillary necrosis and bleeding in the nephrectomized kidney. None of the 278 patients had infection and early post-ligation flank pain developed in only 1 (0.4%). Conclusions: The native ureter may be safely ligated during renal transplantation. 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Link, Google Scholar From the Department of Urology, Wilford Hall Medical Center and Texas Transplant Institute, Methodist Specialty and Transplant Hospital, San Antonio, Texas© 2002 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byLopes R, Fernandez N, Koyle M, dos Santos J, Perez J, Romao R and Lorenzo A (2017) Clinical Outcomes of the Upper Urinary Tract after Ureteral Clipping for Treatment of Low Functioning or Nonfunctioning Renal MoietiesJournal of Urology, VOL. 199, NO. 2, (558-564), Online publication date: 1-Feb-2018.Torino G, Innocenzi M, Mele E, Nappo S and Capozza N (2016) Comparison of Native Ureteral Ligation and Open Nephrectomy for Pediatric Renal TransplantationJournal of Urology, VOL. 196, NO. 3, (875-880), Online publication date: 1-Sep-2016.Canning D (2015) Re: Laparoscopic Ureteral Ligation (Clipping): A Novel, Simple Procedure for Pediatric Urinary Incontinence Due to Ectopic Ureters Associated with Non-Functioning Upper Pole Renal MoietiesJournal of Urology, VOL. 195, NO. 1, (168-170), Online publication date: 1-Jan-2016.Timsit M, Lalloué F, Bayramov A, Taylor M, Billaut C, Legendre C, Kreis H, Badet L and Méjean A (2010) Should Routine Pyeloureterostomy be Advocated in Adult Kidney Transplantation? A Prospective Study of 283 RecipientsJournal of Urology, VOL. 184, NO. 5, (2043-2048), Online publication date: 1-Nov-2010. Volume 167Issue 1January 2002Page: 29-30 Advertisement Copyright & Permissions© 2002 by American Urological Association, Inc.Keywordsnephrectomykidney transplantationligationureterMetricsAuthor Information MICHAEL L. GALLENTINE More articles by this author FRANCIS H. WRIGHT More articles by this author Expand All Advertisement PDF downloadLoading ...