Abstract
Objective To explore the simple, reliable and rapid ureteroneocystostomy in renal transplantation. Methods The clinical data of 320 cases of recipients who performed renal transplantion in Weifang People's Hospital from March 1995 to January 2016 was retrospectively analyzed. All the recipients were divided into two groups according to the ureteroneocystostomy: conventional group (75 cases, submucosal tunnel type) and modified group (245 cases, modified drag-and-drop catheter for ureteroneocystostomy). The time of ureteroneocystostomy and urinary system complications within 2 years after renal transplantion between the two groups were compared by t test and Chi-squared test, respectively. P<0.05 was considered statistically significant. Results All patients were followed up for an average of (6.5 ± 0.6) years (0.5 to 8.0 years) up to January 2016. The time of ureteroneocystostomy of conventional group and modified group were (10.0±1.3) min and (4.0±1.2) min, the difference was statistically significant (t= 6.573, P<0.05). The incidence of terminal ureteral stricture, urinary extravasation, urine leakage, urinary tract infection and vesicoureteral reflux between the two groups were 6.67% (5/75) and 1.22% (3/245), 6.67% (5/75) and 0.82% (2/245), 2.67% (2/75) and 0.82% (2/245), 2.67% (2/75) and 0.82% (2/245), 9.33%(7/75) and 0, the difference was statistically significant (χ2=4.955, 9.185, 1.593, 1.593 and 23.378, P all <0.05). Ureter papilla ( about 2 cm long) could be found in all the recipients in 6 to 12 months after renal transplantion proved by bladder endoscopy, which bonded integratedly with surrounding tissues. Conclusions Compared with submucosal tunnel type, the modified ureteroneocystostomy without double J tubes had simpler surgical method, shorter anastomosis time, more effective anti-reflux mechanism and fewer urinary system complications, which was worth of being generalized. Key words: Renal transplantation; Modified ureteroneocystostomy; Modified; Double J tube
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
