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Year : 2002  |  Volume : 19  |  Issue : 1  |  Page : 54-57

Optimum duration of J.J. stenting in live related renal transplantation

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
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Source of Support: None, Conflict of Interest: None

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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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