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Original ArticleOpen Access
The Urological Complications of Renal Transplantation : An 11-Year- Experience at Ramathibodi Hospital
Leungwattanakij S 
,
Eamtanaporn P ,
Gojaseni P ,
Chaimuangrat S ,
Leenanupunth C ,
Jirasiritham S ,
Muangman V
,
Eamtanaporn P ,
Gojaseni P ,
Chaimuangrat S ,
Leenanupunth C ,
Jirasiritham S ,
Muangman V From February 1986 to December 1996, renal transplantation was performed on 344
patients at Ramathibodi Hospital. The urological complications were retrospectively analyzed
in 335 patients (338 renal transplants), 9 patients were lost to follow-up. There were 227 males
and 108 females with age ranging from 15 to 62 years (mean age 40.28 years). There were 207
cadaveric and 131 living-related graft donors. The ureteroneocystostomy was performed either by
modified Politano-Leadbetter (93 cases) or extravesical technique (245 cases).
There were 23 cases of urological complications : ureterovesical anastomotic leakage 6,
ureteric obstruction 6, vesicoureteric reflux 4, significant bleeding from ureterovesical anasto-
mosis 3, renal infarction with fistulas 2, hydronephrosis due to blood clot retention and swelling
of the anastomosis, requiring temporary double J stenting 2. The analysis was done by dividing
the patients into 3 groups, the first and second groups consisted of 100 cases each and the third
group consisted of 138 cases. The urological complications in the groups were 10 per cent, 9 per
cent and 2.89 per cent respectively. There was a statistically significant difference between the
first two groups combined and the third group in terms of complications (p0.05). The comparative results of the ureteric complications of the extravesical
technique were significantly less than the modified Politano-Leadbetter technique ( 4.49%
vs
10.75%), (p
patients at Ramathibodi Hospital. The urological complications were retrospectively analyzed
in 335 patients (338 renal transplants), 9 patients were lost to follow-up. There were 227 males
and 108 females with age ranging from 15 to 62 years (mean age 40.28 years). There were 207
cadaveric and 131 living-related graft donors. The ureteroneocystostomy was performed either by
modified Politano-Leadbetter (93 cases) or extravesical technique (245 cases).
There were 23 cases of urological complications : ureterovesical anastomotic leakage 6,
ureteric obstruction 6, vesicoureteric reflux 4, significant bleeding from ureterovesical anasto-
mosis 3, renal infarction with fistulas 2, hydronephrosis due to blood clot retention and swelling
of the anastomosis, requiring temporary double J stenting 2. The analysis was done by dividing
the patients into 3 groups, the first and second groups consisted of 100 cases each and the third
group consisted of 138 cases. The urological complications in the groups were 10 per cent, 9 per
cent and 2.89 per cent respectively. There was a statistically significant difference between the
first two groups combined and the third group in terms of complications (p0.05). The comparative results of the ureteric complications of the extravesical
technique were significantly less than the modified Politano-Leadbetter technique ( 4.49%
vs
10.75%), (p
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