Indian Journal of Urology
: 2002  |  Volume : 19  |  Issue : 1  |  Page : 54--57

Optimum duration of J.J. stenting in live related renal transplantation

Balbir S Verma, Mahendra Bhandari, Aneesh Srivastava, Rakesh Kapoor, Anant Kumar 
 Department of Urology and Renal Transplantation, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India

Correspondence Address:
Balbir S Verma
Department of Surgery, Government Medical College and Hospital, Sector 32, Chandigarh - 160 047

Purpose: Ureterovesical anastomosis related compli­cations might cause significant morbidity, allograft loss and even mortality. Routine prophylactic JJ stenting against these complications though controversial seems to be gaining literature support. - «SQ» There is no consensus as to the optimum duration of stenting and various stud­ies report stenting for 1 week to 3 months. This study was conducted to know the optimum duration of JJ stenting in renal transplantation. Material and Methods: 52 (group 1) live related renal transplant recipients, stented for 2 weeks were compared to 57 (group 2) historical controls (from our previous study 5), stented for 4 weeks. A 16 cm/6F polyurethane JJ stent was left across the ureteroneocvstostomy performed by Lich Gregoir technique. The stent was removed under local anesthesia within same admission in group 1 and in second admission in group 2. Both groups received simi­lar antibiotics and bnmunosuppression and were moni­tored for urological complications. Results: There was no major urological complication requiring surgical intervention in either group. The inci­dence of minor complications resolving with conservative management was also similar in the 2 groups. There were 2 ,forgotten stents in group 2 (badly encrusted and removed at 3 years and 11 months respectively). The second ad­mission in group 2 for stent removal incurred extra cost as it was done in the routine operation theatre to avoid infection. Conclusions: Reducing the duration of stenting from 4 weeks to 2 weeks avoids complications associated with pro­longed use of stent without compromising the beneficial ef-«SQ» feats of stent in preventing the urological complications. It obviates the risk of forgotten stent as well as curtails the cost of second admission for stent removal.

How to cite this article:
Verma BS, Bhandari M, Srivastava A, Kapoor R, Kumar A. Optimum duration of J.J. stenting in live related renal transplantation.Indian J Urol 2002;19:54-57

How to cite this URL:
Verma BS, Bhandari M, Srivastava A, Kapoor R, Kumar A. Optimum duration of J.J. stenting in live related renal transplantation. Indian J Urol [serial online] 2002 [cited 2021 Dec 6 ];19:54-57
Available from:;year=2002;volume=19;issue=1;spage=54;epage=57;aulast=Verma;type=0