Early and late urological complications corrected surgically following renal transplantation

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dc.contributor.authorDinckan, Ayhan
dc.contributor.authorTekin, Ahmet
dc.contributor.authorTurkyilmaz, Serdar
dc.contributor.authorKocak, Huseyin
dc.contributor.authorGurkan, Alihan
dc.contributor.authorErdogan, Okan
dc.contributor.authorTuncer, Murat
dc.date.accessioned2020-03-26T17:17:15Z
dc.date.available2020-03-26T17:17:15Z
dc.date.issued2007
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractThe purpose of this study was to assess outcomes of urological complications after kidney transplantation operation. Nine-hundred and sixty-five patients received a kidney transplant between 2000 and 2006. In total, 58 (6.01%) developed urological complications, including urinary leakage (n = 15, 1.55%), stenosis (n = 29, 3%), vesicoureteral reflux (VUR) (n = 12, 1.2%), calculi (n = 1, 0.1%) and parenchymal fistulae (n = 1, 0.1%). Urinary leakage cases were treated by ureteroneocystostomy (UNS) via a double-J stent and stenosis cases by UNS. Fenestration was performed in patients developing lymphoceles and unresponsive to percutaneous drainage. VUR treatment was performed by ureteroneocystostomy revision or UNS. Stent usage during ureteric reimplantation was observed to reduce urinary leakage. Surgical complication rates in renal transplantation recipients according to donor type (living versus cadaveric) and the status of stent use (with stent versus without stent) were 5.53% vs. 7.27% (P = 0.064) and 5.24% vs. 20% (P < 0.01) respectively. No recurrence, graft loss or death was seen after these interventions. Comparison of recipients with and without urological complication showed that there was no difference between groups (P > 0.05) with respect to last creatinine level. No graft or patient loss was associated with urological complications. Urological complications that can be surgically corrected should be aggressively treated by experienced surgeons and graft loss avoided.en_US
dc.identifier.doi10.1111/j.1432-2277.2007.00500.xen_US
dc.identifier.endpage707en_US
dc.identifier.issn0934-0874en_US
dc.identifier.issn1432-2277en_US
dc.identifier.issue8en_US
dc.identifier.pmid17511829en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage702en_US
dc.identifier.urihttps://dx.doi.org/10.1111/j.1432-2277.2007.00500.x
dc.identifier.urihttps://hdl.handle.net/20.500.12395/21330
dc.identifier.volume20en_US
dc.identifier.wosWOS:000247669500009en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWILEYen_US
dc.relation.ispartofTRANSPLANT INTERNATIONALen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectrenal transplantationen_US
dc.subjectsurgical treatmenten_US
dc.subjecturological complicationsen_US
dc.titleEarly and late urological complications corrected surgically following renal transplantationen_US
dc.typeArticleen_US

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