Impact of Ureteral Length on Urological Complications and Patient Survival After Kidney Transplantation
نویسندگان
doi
10.5812/numonthly.10881چکیده
Background: Urologic complications are of the most important complications after kidney transplantation which increases mortality and morbidity significantly. Objectives: We designed this study to evaluate the association between ureteral length and postoperative complications. Result: A total of 395 patients with the mean age of 37 years (range, 18 to 68 years) were enrolled in the study, twenty six graft lost during the follow-up period. The Mean age of recipients was 37 ± 13 years. Urinary stenosis was seen in 6 patients (1.5%) and urinary leakage in 4 (1%) patients. The complication rate was not significantly different between these groups (P = 0.67). We found that there were no significant difference among complication (P = 0.25), hospitalization (P = 0.31) and survival (P = 0.84) at 5.5 cm length cut off. Conclusions: The length of transplanted ureter does not affect the postoperative urologic complications (including urinary fistula and ureter-to-bladder anastomosis stricture), and it seems that decreased rate of complication frequency during the recent years is due to technical improvement, surgeon’s skillfulness and development in use of immunosuppressant’s postoperatively.