Vesicoureteric Reflux Following Renal Transplantation: a Simple Method of Ureteric Implantation

Wiley - Tập 53 Số 2 - Trang 111-114 - 1981
Andrew Mitterdorfer1, G. Williams1, J E Castro1
1Department of Surgery, Hammersmith Hospital, London

Tóm tắt

SUMMARY— We have used a simple method of ureteroneocystostomy in renal transplant patients. This entails a no‐tunnel “drop‐in” with a long free segment protruding into the bladder lumen. The incidence of vesicoureteric reflux was investigated in 81 transplant patients who had a follow‐up period ranging from 4 months to 1 5 years (mean 3.7 years); 29 of these patients had recurrent urinary tract infections. Micturating cystography demonstrated reflux in 6 patients (7.4%). In these 6 patients the presence of reflux had no deleterious effect on renal function and the infections were easily controlled with long‐term antibiotics. In the 52 patients without urinary infection no reflux was demonstrated.The conclusions based on this study indicate that in the absence of recurrent infection there are no indications for micturating cystography and this method of ureteroneocystostomy is expedient and has a low incidence of reflux.

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Tài liệu tham khảo

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Thông tin
Thông tin xuất bản

Wiley

Tập 53 Số 2

111-114

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