Renal autotransplant for major ureteric loss: Results from median 11 years of follow-up

Objective: Renal autotransplant (RA) is an underutilized procedure to treat major ureteric loss. Studies on long-term outcomes and follow-up after RA are scarce. This study aimed to report the long-term outcomes and follow-up after RA. Material and methods: We identified 9 patients, from 2007 to 201...

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Bibliographic Details
Published in:Turkish journal of urology 2021-03, Vol.47 (2), p.151-157
Main Authors: Bansal, Amit, Kumar, Anant, Maheshwari, Ruchir, Desai, Pragnesh, Chaturvedi, Samit, Dassi, Vimal
Format: Article
Language:English
Subjects:
Antibiotics
Bladder
Creatinine
General Urology
Hospitals
Kidneys
Laparoscopy
Metabolism
Patients
Surgery
Urology
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Summary:Objective: Renal autotransplant (RA) is an underutilized procedure to treat major ureteric loss. Studies on long-term outcomes and follow-up after RA are scarce. This study aimed to report the long-term outcomes and follow-up after RA. Material and methods: We identified 9 patients, from 2007 to 2019, who underwent RA after major ureteric loss (where direct restoration of continuity was not possible). We collected data regarding the etiology of ureteric loss, preoperative differential renal function, method of nephrectomy (laparoscopic or open), method of anastomosing the residual ureter/pelvis to the bladder, postoperative complications, duration of hospital stay, and renal function and drainage postoperatively and until the last follow-up. Changes in renal function and/or any obstruction to urinary drainage of the ipsilateral kidney postoperatively or during follow-up were measured. The Wilcoxon matched-pairs signed-rank test was used to compare the mean creatinine values preoperatively, postoperatively, and at last follow-up (p
ISSN:2149-3057
2149-3235
2149-3057
2980-1478
DOI:10.5152/tud.2020.20371