Gulhane Military Medical Academy Department of General Surgery, Ankara, Turkey.
Ureteral stents are used to reduce urologic complications after renal transplantation. However, they predispose to infection. The optimal time to keep them in the urinary tract has not yet been defined. The aim of this study was to evaluate the effect of early removal at the end of 2 weeks on urinary tract infections and early urologic complications (within 3 months), such as ureteroneocyctostomy leakage as well as ureteral anastomosis stricture or obstruction.
We retrospectively analyzed the medical records of 48 patients who underwent renal transplantation using a ureteral stent. The patients were divided into two groups according to the time of stent removal: at the end of 2 weeks (group A; n = 10) versus at a later time (group B; n = 38).
The urologic complication rate was 0% in group A and the urinary tract infection rate, 2%. The urologic complication rate was 0% in group B and the urinary tract infection rate, 35%.
Early removal of the stent at the end of 2 weeks after renal transplantation is decreased the rate of urinary tract infections.
Coskun AK, Harlak A, Ozer T, Eyitilen T, Yigit T, Demirbaş S, Uzar Aİ, Kozak O, Cetiner S. Are you the author?
Reference: Transplant Proc. 2011 Apr;43(3):813-5.