The Utility of Routine Ultrasound Imaging after Elective Transplant Ureteric Stent Removal
Background. Ureteric stent insertion during kidney transplantation reduces the incidence of major urological complications (MUCs). We evaluated whether routine poststent removal graft ultrasonography (PSRGU) was useful in detecting MUCs before they became clinically or biochemically apparent. Method...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Journal of Transplantation |
| Online Access: | http://dx.doi.org/10.1155/2016/1231567 |
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| author | Bibek Das Dorian Hobday Jonathon Olsburgh Chris Callaghan |
| author_facet | Bibek Das Dorian Hobday Jonathon Olsburgh Chris Callaghan |
| author_sort | Bibek Das |
| collection | DOAJ |
| description | Background. Ureteric stent insertion during kidney transplantation reduces the incidence of major urological complications (MUCs). We evaluated whether routine poststent removal graft ultrasonography (PSRGU) was useful in detecting MUCs before they became clinically or biochemically apparent. Methods. A retrospective analysis was undertaken of clinical outcomes following elective stent removals from adult single renal transplant recipients (sRTRs) at our centre between 1 January 2011 and 31 December 2013. Results. Elective stent removal was performed for 338 sRTRs. Of these patients, 222 had routine PSRGU (median (IQR) days after stent removal = 18 (11–31)), 79 had urgent PSRGU due to clinical or biochemical indications, 12 had CT imaging, and 25 had no further renal imaging. Of the 222 sRTRs who underwent routine PSRGU, 210 (94.6%) had no change of management, three (1.4%) required repeat imaging only, and eight patients (3.6%) had incidental (nonureteric) findings. One patient (0.5%) had nephrostomy insertion as a result of routine PSRGU findings, but no ureteric stenosis was identified. Of 79 patients having urgent PSRGU after elective stent removal, three patients required transplant ureteric reimplantation. Conclusions. This analysis found no evidence that routine PSRGU at two to three weeks after elective stent removal provides any added value beyond standard clinical and biochemical monitoring. |
| format | Article |
| id | doaj-art-9c4ec5057d814ea2bfe32822f2c09711 |
| institution | Kabale University |
| issn | 2090-0007 2090-0015 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Transplantation |
| spelling | doaj-art-9c4ec5057d814ea2bfe32822f2c097112025-02-03T01:11:32ZengWileyJournal of Transplantation2090-00072090-00152016-01-01201610.1155/2016/12315671231567The Utility of Routine Ultrasound Imaging after Elective Transplant Ureteric Stent RemovalBibek Das0Dorian Hobday1Jonathon Olsburgh2Chris Callaghan3Department of Nephrology and Transplantation, Guy’s Hospital, Great Maze Pond, London SE1 9RT, UKDepartment of Nephrology and Transplantation, Guy’s Hospital, Great Maze Pond, London SE1 9RT, UKDepartment of Nephrology and Transplantation, Guy’s Hospital, Great Maze Pond, London SE1 9RT, UKDepartment of Nephrology and Transplantation, Guy’s Hospital, Great Maze Pond, London SE1 9RT, UKBackground. Ureteric stent insertion during kidney transplantation reduces the incidence of major urological complications (MUCs). We evaluated whether routine poststent removal graft ultrasonography (PSRGU) was useful in detecting MUCs before they became clinically or biochemically apparent. Methods. A retrospective analysis was undertaken of clinical outcomes following elective stent removals from adult single renal transplant recipients (sRTRs) at our centre between 1 January 2011 and 31 December 2013. Results. Elective stent removal was performed for 338 sRTRs. Of these patients, 222 had routine PSRGU (median (IQR) days after stent removal = 18 (11–31)), 79 had urgent PSRGU due to clinical or biochemical indications, 12 had CT imaging, and 25 had no further renal imaging. Of the 222 sRTRs who underwent routine PSRGU, 210 (94.6%) had no change of management, three (1.4%) required repeat imaging only, and eight patients (3.6%) had incidental (nonureteric) findings. One patient (0.5%) had nephrostomy insertion as a result of routine PSRGU findings, but no ureteric stenosis was identified. Of 79 patients having urgent PSRGU after elective stent removal, three patients required transplant ureteric reimplantation. Conclusions. This analysis found no evidence that routine PSRGU at two to three weeks after elective stent removal provides any added value beyond standard clinical and biochemical monitoring.http://dx.doi.org/10.1155/2016/1231567 |
| spellingShingle | Bibek Das Dorian Hobday Jonathon Olsburgh Chris Callaghan The Utility of Routine Ultrasound Imaging after Elective Transplant Ureteric Stent Removal Journal of Transplantation |
| title | The Utility of Routine Ultrasound Imaging after Elective Transplant Ureteric Stent Removal |
| title_full | The Utility of Routine Ultrasound Imaging after Elective Transplant Ureteric Stent Removal |
| title_fullStr | The Utility of Routine Ultrasound Imaging after Elective Transplant Ureteric Stent Removal |
| title_full_unstemmed | The Utility of Routine Ultrasound Imaging after Elective Transplant Ureteric Stent Removal |
| title_short | The Utility of Routine Ultrasound Imaging after Elective Transplant Ureteric Stent Removal |
| title_sort | utility of routine ultrasound imaging after elective transplant ureteric stent removal |
| url | http://dx.doi.org/10.1155/2016/1231567 |
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