Non tunneled, non stented ureterovesical anastomosis in kidney transplantation

ABSTRACT

Many methods have been proposed for reconstructing the urinary tract after renal transplantation. It remains unclear whether an antireflux procedure is better than a simple non-tunneling anastomosis. We studied the fate of their ureteroneocystostomy. One hundred cases in an eight-year period with an age range of 14-54 years receiving a living related donor graft were reviewed. All had an intravesical uretero-vesical anastomosis without tunneling or stenting. Twelve patient had a simple urinary leak that responded to catheterization. Two patients had their anterior bladder wall gapping sutured with uneventful course. No morbidity of morality, directly related to the type of anastomosis occurred. Conclusions: The simple non-tunneled non-stented uretero-vesical anastomosis in kidney transplantation seems to be an easy procedure that dose not carry a higher rate of complications than the other currently used methods: