| ORIGINAL ARTICLE |
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| Year : 2002 | Volume
: 19
| Issue : 1 | Page : 54-57 |
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Optimum duration of J.J. stenting in live related renal transplantation
Balbir S Verma, Mahendra Bhandari, Aneesh Srivastava, Rakesh Kapoor, Anant Kumar
Department of Urology and Renal Transplantation, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
Correspondence Address:
Balbir S Verma
Department of Surgery, Government Medical College and Hospital, Sector 32, Chandigarh - 160 047
India
 Source of Support: None, Conflict of Interest: None  | Check |
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Purpose: Ureterovesical anastomosis related complications might cause significant morbidity, allograft loss and even mortality. Routine prophylactic JJ stenting against these complications though controversial seems to be gaining literature support. - ' There is no consensus as to the optimum duration of stenting and various studies report stenting for 1 week to 3 months. This study was conducted to know the optimum duration of JJ stenting in renal transplantation.
Material and Methods: 52 (group 1) live related renal transplant recipients, stented for 2 weeks were compared to 57 (group 2) historical controls (from our previous study 5), stented for 4 weeks. A 16 cm/6F polyurethane JJ stent was left across the ureteroneocvstostomy performed by Lich Gregoir technique. The stent was removed under local anesthesia within same admission in group 1 and in second admission in group 2. Both groups received similar antibiotics and bnmunosuppression and were monitored for urological complications.
Results: There was no major urological complication requiring surgical intervention in either group. The incidence of minor complications resolving with conservative management was also similar in the 2 groups. There were 2 ,forgotten stents in group 2 (badly encrusted and removed at 3 years and 11 months respectively). The second admission in group 2 for stent removal incurred extra cost as it was done in the routine operation theatre to avoid infection.
Conclusions: Reducing the duration of stenting from 4 weeks to 2 weeks avoids complications associated with prolonged use of stent without compromising the beneficial ef-' feats of stent in preventing the urological complications. It obviates the risk of forgotten stent as well as curtails the cost of second admission for stent removal. |
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