Optimal timing for removal of the double-j stent after kidney transplantation

dc.contributor.authorYüksel, Y.
dc.contributor.authorTekin, S.
dc.contributor.authorYüksel, D.
dc.contributor.authorDuman, I.
dc.contributor.authorSarıer, M.
dc.contributor.authorYücetin, L.
dc.contributor.authorAsuman, Y. H.
dc.date.accessioned2021-05-15T12:36:40Z
dc.date.available2021-05-15T12:36:40Z
dc.date.issued2017
dc.departmentTıp Fakültesien_US
dc.descriptionSarier, Mehmet/0000-0002-8656-7416;
dc.description.abstractBackground. Urologic complications (UC) have gradually decreased in recent years after advanced surgical experience. The incidence of urologic complications varies between 0.22% and 30% in different medical studies. There is no routine usage of double-J stenting (DJS) during renal transplantation (RT) in the literature. It is a necessity, and optimal timing for stent removal is an important question for many transplantation centers. Methods. This study includes 818 renal transplant patients whose ureteroneocystostomy anastomoses were completed by use of the Lich-Gregorie procedure during a 2-year period at a transplantation center. We performed 926 renal transplantations at Antalya Medical Park Hospital Renal Transplantation Center between January 2014 and January 2016. The patients were divided into four groups according to the timing of DJS removal. Results. For group 1, removal time for DJS was between 5 and 7 days; group 2, Removal time for DJS was between 8 and 14 days; group 3, removal time for DJS was between 15 and 21 days; and group 4, removal time for DJS was later than 22 days. The patients were divided into two groups according to removal time of stent as 5 to 14 days and >15 days. DJS was performed again in the patients whose urine output was reduced during the first 5 days after removal of the DJS, whose creatine level increased, and whose graft ureter and collecting tubules were extended as an ultrasonographic finding. Conclusions. There is no declared optimal time for the removal of DJS. The removal time was reported between postoperative first week and 3 months in some of the reports of RT centers, according to their protocols. We emphasize that the optimal time for the removal of DJS is 14 to 21 days after RT, based on the findings of our large case report study.en_US
dc.identifier.doi10.1016/j.transproceed.2017.01.008
dc.identifier.endpage527en_US
dc.identifier.issn0041-1345
dc.identifier.issn1873-2623
dc.identifier.issue3en_US
dc.identifier.pmid28340826
dc.identifier.scopus2-s2.0-85015908789
dc.identifier.scopusqualityQ3
dc.identifier.startpage523en_US
dc.identifier.urihttps://doi.org/10.1016/j.transproceed.2017.01.008
dc.identifier.urihttps://hdl.handle.net/20.500.12939/371
dc.identifier.volume49en_US
dc.identifier.wosWOS:000398017900030
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorSarıer, M.
dc.language.isoen
dc.publisherElsevier Science Incen_US
dc.relation.ispartofTransplantation Proceedings
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectMedicineen_US
dc.subjectDouble-J Stenten_US
dc.subjectKidney Transplantationen_US
dc.titleOptimal timing for removal of the double-j stent after kidney transplantation
dc.typeArticle

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