This study aimed to retrospectively analyze the impact of routine Double- J stent placement on early urological complications in live related renal transplantation and compared the results with those transplanted without a stent at SIUT. A retrospective study was conducted on 158 patients who underwent live related renal transplantation between 11th December 2007 and 31st May 2008 at SIUT. Based on exclusion criteria 103 patients were selected for the study. These patients were categorized into 2 groups. Group A comprised of patients who received a Double-J stent while Group B contained patients who were stent free. Early urological complications were recorded. Group A comprised of 54 patients (52.4%) of which 39 were males and 15 females whereas Group B contained 49 patients (47.6%) of which 41 were males and 8 females. None of the patients in either group developed a urinary leak. In Group B, 3 patients developed urinary obstruction while no obstruction was recorded in the Group A (p = 0.06). Although 7 patients in group A (12.96%) had a positive urine culture, only 3 patients in Group B developed UTI (p = 0.242). This study suggests that routine placement of DJ stent is unnecessary in renal transplant recipients and its use should be limited to patients with an abnormal lower urinary tract.
Volume : 6
Issue : 4
Pages : 85
Sindh Institute of Urology and Transplantation, Karachi, Pakistan