Which urinary diversion surgery involves the transplantation of the ureters?

PALAPATTU G, BLOOM D, SMITH R and BOXER R (2018) WILLARD E. GOODWIN: EDUCATOR, INNOVATOR AND PIONEERJournal of Urology, VOL. 172, NO. 1, (40-44), Online publication date: 1-Jul-2004.

Gittes R (2018) To Stent or Not to StentJournal of Urology, VOL. 134, NO. 6, (1179-1179), Online publication date: 1-Dec-1985.

Anderson E (2018) Editorial CommentJournal of Urology, VOL. 129, NO. 3, (546-547), Online publication date: 1-Mar-1983.

Orton K and Middleton R (2018) Ileal Substitution of the Ureter in Renal TransplantationJournal of Urology, VOL. 128, NO. 2, (374-375), Online publication date: 1-Aug-1982.

Goldstein I, Cho S and Olsson C (2018) Nephrostomy Drainage for Renal Transplant ComplicationsJournal of Urology, VOL. 126, NO. 2, (159-163), Online publication date: 1-Aug-1981.

Mcloughlin M (2018) The Ureter in Pediatric Renal AllotransplantationJournal of Urology, VOL. 118, NO. 6, (1041-1042), Online publication date: 1-Dec-1977.

Cook G, Cant J, Crassweller P and Deveber G (2018) Urinary Fistulas After Renal TransplantationJournal of Urology, VOL. 118, NO. 1 Part 1, (20-21), Online publication date: 1-Jul-1977.

Colfry A, Schlegel J, Lindsey E and McDonald J (2018) Urological Complications in Renal TransplantationJournal of Urology, VOL. 112, NO. 5, (564-566), Online publication date: 1-Nov-1974.

Marx W, Halasz N, Mclaughlin A and Gittes R (2018) Urological Complications in Renal TransplantationJournal of Urology, VOL. 112, NO. 5, (561-563), Online publication date: 1-Nov-1974.

Salvatierra O, Kountz S and Belzer F (2018) Prevention of Ureteral Fistula after Renal TransplantationJournal of Urology, VOL. 112, NO. 4, (445-448), Online publication date: 1-Oct-1974.

Deweerd J, Woods J and Leary F (2018) The Allograft UreterJournal of Urology, VOL. 109, NO. 6, (958-963), Online publication date: 1-Jun-1973.

Weiss R, Schiff M and Lytton B (2018) Late Obstruction after UreteroneocystostomyJournal of Urology, VOL. 106, NO. 1, (144-148), Online publication date: 1-Jul-1971.

Summary

Patients with congenital abnormalities of the lower urinary tract may develop end-stage renal failure, necessitating kidney transplantation. If their own bladder is unsuitable for implantation of the graft ureter, or if reconstructive surgery of the lower tract is not possible, the ureter can be implanted in an ileostomy or colostomy. The results of a follow-up study of 22 kidney transplants in 19 patients with a urinary diversion are reported. The immediate post-operative surgical complications were few, including one superficial wound abscess, one lymphocele, and one hematoma. One patient had a perforation of the ileal loop after the excision of an infected kidney. The late surgical complications involved excessive length of the ileal loop in two patients, nephrolithiasis in two, and ureteroileal anastomotic strictures in three. One patient died of liver failure 2 years posttransplantation with a well-functioning graft. Today, 16 of the remaining 18 patients have a well-functioning graft, one has impaired kidney function, and one is on dialysis. The 1- and 2-year graft survival rates are 90.6% and 74.7%, respectively, and the mean follow-up period is 5.5 years. Our results show that kidney transplantation in patients with a urinary diversion can be carried out with an acceptable complication rate and a very good patient and graft survival rate.

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Authors and Affiliations

1. Department of Urology, Sint Radbound University Hospital, Nijmegen, The Netherlands

   G. O. N. Oosterhof, H. J. Arendsen & F. M. J. Debruyne

2. Department of Nephrology, Sint Radbound University Hospital, Nijmegen, The Netherlands

   A. J. Hoitsma

Authors

1. G. O. N. Oosterhof

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2. A. J. Hoitsma

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3. H. J. Arendsen

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4. F. M. J. Debruyne

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Oosterhof, G.O.N., Hoitsma, A.J., Arendsen, H.J. et al. Kidney transplantation in patients with a urinary diversion. World J Urol 6, 91–94 (1988). https://doi.org/10.1007/BF00326621

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• Issue Date: August 1988

• DOI: https://doi.org/10.1007/BF00326621

Keywords

• Kidney Transplantation
• Nephrolithiasis
• Anastomotic Stricture
• Urinary Diversion
• Graft Survival Rate

Which surgical procedure involves urinary diversion in which the ureters are transplanted?

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What is surgery to reposition bladder to abdominal wall?

Which intervention would prevent urinary stasis and formation of renal calculi?