The Impact of Insertion of Double J Uretral Stent On Urological Complications in Renal Transplant Recipients: A Single Centre Experience.

Abstract

Objectives This study aimed to analyze retrospectively the impact of routine Double J stent placement on early urological complications in live related renal transplantation and compared the results with those transplanted without a stent at SIUT. Material and Methods A retrospective study was conducted on 158 patients who underwent live related renal transplantation between December 2007 and May 2008 at SIUT. Based on exclusion criteria 103 patients were selected for the study. These patients were categorized into two groups. Group A comprised of patients who received a Double J stent while group B consisted of patients who were stents free. Early urological complications were recorded. Inclusion criteria were the recipients between 18-50 years, single renal transplants, with normal lower urinary tract and all patients underwent uretrovesical anastomosis by Lich Gregoir technique. The patients with pathological lower urinary tract, having minimum follow-up period of 3 months and those who lost their grafts within this period were excluded. Results: Group A comprised of 54 (52.4%) patients of which 39 were males and 15 females whereas group B had 49 patients (47.6%) of which 41 were males and 8 females. None of the patients in either group developed a urinary leak. In group B, 3 patients developed urinary obstruction while no obstruction was recorded in the Group A (p=0.06). Although 7 patients in group A (12.96%) had a positive urine culture, only 3 patients in Group B developed UTI (p=0.242). Conclusion: This study suggests that routine placement of DJ stent is unnecessary in renal transplant recipients and its use should be limited to patients with an abnormal lower urinary tract.