Erman Alci
Manisa State Hospital, Turkey
Title: Comparison of patients that double j stent has been placed or not after renal transplantation in single center: A follow-Up study
Biography
Biography: Erman Alci
Abstract
DJ stents play an important role in modern urology to prevent undesirable side effects after surgery. With this study, we aimed to investigate the relationship of DJ stents with the demographic characteristics, surgical complications, UTI, hematuria of the patients who underwent renal tx. Data of 354 patients who underwent renal tx. between 2008 and 2011 in Ege University were evaluated retrospectively. 331 patients were included in this study. The term DJ (-) represents patients in whom DJ stent was not placed. Primary DJ term represents patients that the DJ stent was placed during the first tx. Secondary DJ term represents the patients who had DJ after tx. due to any complication. 254 (76.7%) patients were in DJ (-) group, 52 (15,7%) were in primary DJ group and 25 (7,6%) were in secondary DJ group. There was significant differences between the groups in terms of Anastomosis type (p =, 000), stay in hospital time (p =, 000), surgical complication (p =, 000), reoperation (p =, 000), percutaneous nephrostomy(p =, 000), UTÄ° (p =, 000), first UTÄ° time (p =, 000), recurrent UTÄ° (p =, 000), positive hemoculture (p =, 000), hematuria (p =, 000), duration of dialysis before tx (p =, 000), live/deceased donor (p =, 000), DGF (p =, 009). Our choice is to use the DJ stent in selected high-risk patients, and to keep the indications of DJ stent wider in deceased donor transplants by considering possible surgical complications. Using stent only in selected cases will decrease surgical complications due to stent placement.