Urologic Complications in 125 Renal Transplantations and Comparison between Intravesical and Extravesical Uretero Neocystostomy.
- Author:
Dong Hwan LEE
1
;
Soo Kil LIM
Author Information
1. Department of Urology, Catholic Medical College, Seoul Korea.
- Publication Type:Original Article
- Keywords:
complication;
kidney transplantation;
ureteroneocystostomy
- MeSH:
Female;
Hemorrhage;
Humans;
Incidence;
Kidney Transplantation*;
Male;
Postoperative Complications;
Sutures;
Ureter;
Ureteral Obstruction;
Urology
- From:Korean Journal of Urology
1983;24(2):213-218
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We evaluated the complications of intravesical and extravesical ureteroneocystostomy in 125 renal transplantations performed in the Department of Urology, Catholic Medical College between March 1969 and July 1982. The following results were obtained: 1. Of 125 cases of the recipient 105 cases were male and 20 cases were female. 2. Intravesical ureteroneocystostomy was performed by Politano-Leadbetter method in 66 cases and extravesical ureteroneocystostomy by the similar ones reported by MacKinnon in 59 cases. 3. Our incidence of urological complications in the 125 renal transplantations was 9.7% (12 cases). 4. Postoperative complications developed in 11 of the 66 who underwent intravesical ureteroneocystostomy and in 1 of the 59 who underwent extravesical ureteroneocystostomy. 5. The details of the complications were as follows: 6 were ureteral obstruction, 4 ureteral leakage, 1 bleeding from anastomosis site and 1 was urine leakage from anastomosis site. 6. Operative methods for urological complications were ureteroureterostomy in ureteral obstruction 161 and ureteral leakage (3), ureteroneocystostomy in ureteral leakage (1), simple suture in bleeding (1) and urine leakage (1) from anastomosis site. 7. This method of extravesical ureteroneocystostomy in renal transplantation was easy and fast and has a low complication.
