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POINT-COUNTER-POINT
Year : 2010  |  Volume : 26  |  Issue : 3  |  Page : 454-456

There is no need to stent the ureterovesical anastomosis in live renal transplants


Department of Urology, Christian Medical College Hospital, Ida Scudder Road, Vellore, Tamil Nadu - 632004, India

Correspondence Address:
Santosh Kumar
Department of Urology, Christian Medical College Hospital, Ida Scudder Road, Vellore, Tamil Nadu - 632 004
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-1591.70595

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Double-J (DJ) stents are used in urology practice for various reasons. In renal transplantation, DJ stenting is used to treat the complications like urine leak and ureteric obstruction. However, the role of routine or prophylactic DJ stenting during renal transplantation is debatable. Most of the urinary complications occurring following renal transplantation are because of poor surgical technique and transplant ureteric ischemia. Routine DJ stenting cannot be a substitute for sound surgical technique, which avoids ureteric devascularization and create watertight ureterovesical anastomosis. DJ stenting increases the risk for complications like recurrent urinary tract infection, stent encrustation, stone formation, hematuria, and severe storage lower urinary tract symptoms. Routine DJ stenting during renal transplantation is not mandatory. It can harm an immunosuppressed renal transplant recipient by predisposing to various complications.


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