2136 IS UROLOGIC SURGICAL TRAINING BENFICIAL IN THE POSTOPERATIVE CARE OF THE RENAL TRANSPLANT PATIENT?

Abstract

You have accessJournal of UrologyTransplantation & Vascular Surgery: Renal Transplantation, Vascular Surgery I1 Apr 20122136 IS UROLOGIC SURGICAL TRAINING BENFICIAL IN THE POSTOPERATIVE CARE OF THE RENAL TRANSPLANT PATIENT? Hannah Kerr, Antonia Harford, and Michael Davis Hannah KerrHannah Kerr Albuquerque, NM More articles by this author , Antonia HarfordAntonia Harford Albuquerque, NM More articles by this author , and Michael DavisMichael Davis Albuquerque, NM More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.2306AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Historically, urologists have had a dominant role in renal transplantation. However, with the advent of other abdominal organ transplants, this procedure has become the purview of general surgeons. At UNM, renal transplantation is performed by the Division of Urology. We analyzed our experience to ascertain whether renal transplant recipients benefited postoperatively from the surgical expertise of a urologic renal transplant surgeon. METHODS We retrospectively reviewed 172 renal transplants from 2006–2010, looking at operative procedures up to 36 months after transplant that related to the transplant outcome. We compared the procedures that required a urologist to the procedures that any trained renal transplant surgeon could perform. RESULTS 132 of 172 patients (77%) required at least 1 subsequent surgical procedure. 178 procedures were performed. Of these, 144 (81%) were urologic procedures, and 34 (19%) were procedures that any trained renal transplant surgeon could perform. See table. Urologic Procedures Number General Transplant Surgery Procedures Number Cystoscopy/stent removal 119 Removal of PD catheter 15 Native nephrectomy 5 Revision of ureteroneocystotomy 2 TURP/TUIP 4 Seroma/lymphocele drainage 5 Radical orchiectomy 1 Removal of JP drain 2 Ileal conduit stoma revision 1 Transplant nephrectomy 5 Bladder biopsy 1 Wound dehiscence closure 1 Retrograde pyelograms 5 Adrenalectomy 1 Re-stenting 5 Open renal biopsy 3 Deflux injection 2 Dorsal slit 1 Total 144(81%) 34(19%) CONCLUSIONS Our data demonstrates that renal transplant patients benefit from the expertise of a urologist. A number of secondary operations/procedures are performed post-transplant which influence graft outcome. The advantage of having a urologist as the renal transplant surgeon is that care does not have to be coordinated with another specialist. The ultimate benefit is long term continuity of surgical care for these complex patients. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e862-e863 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Hannah Kerr Albuquerque, NM More articles by this author Antonia Harford Albuquerque, NM More articles by this author Michael Davis Albuquerque, NM More articles by this author Expand All Advertisement Advertisement PDF DownloadLoading ...