Inserting JJ in allograft ureter and Foley catheter in urethra is routine in the end of Kidney Transplantation. Usually the urethral catheter is removed between 5 to 7 days post operation and JJ removed between 3 to 5 weeks post operation. Here is presentation effect of double voiding in patient with JJ. Group one, thirty five kidney recipients (25 males,10 female) between age of 15 to 50 years, kidney donors were living unrelated (between age of 25to35,30males 5 females), ureter anastomosed as lich procedure. 6 days post operation before removing urethral catheter it clamped for 2hours and under sterile condition mid urine sampling trans catheter was taken for urine culture. All recipients were taken co- trimexazol (prophylactic). At time removing JJ, urine and stent sent for culture Group two in thirty renal recipients (25 males 5females between age of 20to 55 years) with live unrelated donor (all male and age between 25 to 37 years) managed like group one except after removing urethral catheter, advised to do double voiding (five minutes after finishing micturation again to do voiding) and recorded volume of urine in second voiding. Post transplant management was same in two groups. In group one, 14 samples during urethral catheter removing (40%) were positive (E-coli, Pseudomonas, staphylaccocus, acinobacter, Entrobacteria.spp), and twelve urine samples and JJ (during JJ removing) were positive. In group two 20to 50 cc urine voided in every second time voiding and only one urine and one JJ sample during removing JJ was positive.
More than 40% of kidney recipient had positive urine culture during removing urethral Foley catheter that it is a very important risk factor for APN(acute pyelonephritis)in patient with JJ which predispose to reflux a well known etiology for APN. Double voiding reduces risk of APN in patient with JJ in allograft ureter.