Klinisch I - P03 - Suprapubic ureteric stenting in kidney transplantation; does the type of stent matter?
L.S.S. Ooms, L.G. Spaans, M.G.H. Betjes, J.N.M Ijzermans, T. Terkivatan
Chair(s): dr. Jan Stephan F. Sanders, internist/nefroloog, UMC Groningen
Thursday 10 march 2016
12:30 - 13:00h
at Foyer
Categories: Postersessie
Parallel session: Postersessies XI - Opgesplitst in 3 tijdblokken en 3 categoriëen (klinisch, basaal, donatie)
Background:
The aim of this study was to evaluate the effect of two types of suprapubic ureteric stents on the number of urological complications after kidney transplantation.
Methods:
Data were retrospectively collected from 366 consecutive kidney transplantations performed between January 2013 and January 2015 in our hospital, in which a suprapubic externalized ureteral stent was placed during surgery. Urological complications were defined as urinary leakage or ureteral stenosis requiring PCN placement.
Results:
A total of 197 patients received a straight stent with two larger side holes, introduced without a guidewire (type A ;8 Fr ‘Covidien’ tube) and 169 patients received a single J stent with 7 smaller side holes introduced with a guidewire ‘(type B;7 Fr ‘Teleflex’ single J stent). We found a significant higher incidence of PCN placements in type A stenting: 34 (17%) PCN interventions versus 16 (9%) in type B stenting (p= 0.030). No significant difference was found between the indications for PCN placement in both groups (p= 0.423). Stent dysfunction and early removal (< 8 days) was equally distributed in both groups (p= 0.397) while incidence of rejection and urinary tract infection (UTI) were higher in type B stenting. Patient and graft survival did not differ between the groups.
Conclusions:
In conclusion, ‘stent type B’ is associated with less urological complications compared to ‘stent type A’. The type of stent does not affect patient and graft survival.
