Skip to main content
Annals of Surgery logoLink to Annals of Surgery
. 1987 Apr;205(4):428–431. doi: 10.1097/00000658-198704000-00014

External ureteroneocystostomy and ureteroureterostomy in renal transplantation.

J C McDonald, M D Landreneau, D E Hargroder, D D Venable, M S Rohr
PMCID: PMC1492728  PMID: 3551859

Abstract

Reported are 204 primary external ureteroneocystostomies and 16 primary ureteroureterostomies in a series of 220 consecutive renal transplants. A total of 12 (5%) complications occurred; however, only seven (3%) required major operative repair, whereas five (2%) were minor and were repaired by cystoscopic or transvesical procedures. There was no mortality and no allograft loss from these complications, which tend to occur late and be amenable to prompt repair. Since the complications of external ureteroneocystostomy differ from those of the internal ureteroneocystostomy, a discussion of their treatment is provided. A review of literature shows that the external repair is growing in popularity because of its good results. The good results are attributable to the use of a short length of ureter, to the use of a continuous monofilament suture that produces an anastomosis less likely to leak, and to the need of a very small cystostomy.

Full text

PDF
428

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Donaldson R. A., Jacobson J. E., Pontin A. R. Ureteric obstruction in renal allograft recipients. S Afr Med J. 1977 Dec 24;52(27):1077–1082. [PubMed] [Google Scholar]
  2. Donohue J. P., Hostetter M., Glover J., Madura J. Ureteroneocystostomy versus ureteropyelostomy: a comparison in the same renal allograft series. J Urol. 1975 Aug;114(2):202–203. doi: 10.1016/s0022-5347(17)66985-4. [DOI] [PubMed] [Google Scholar]
  3. Greenberg S. H., Wein A. J., Perloff L. J., Barker C. F. Ureteropyelostomy and ureteroneocystostomy in renal transplantation: postoperative urological complications. J Urol. 1977 Jul;118(1 Pt 1):17–19. doi: 10.1016/s0022-5347(17)57871-4. [DOI] [PubMed] [Google Scholar]
  4. Holden S., O'Brien D. P., 3rd, Lewis E. L., Green B. G., Walton K. N. Urologic complications in renal transplantation. Urology. 1975 Feb;5(2):182–184. doi: 10.1016/0090-4295(75)90005-9. [DOI] [PubMed] [Google Scholar]
  5. Hooghe L., Kinnaert P., Schulman C. C., Toussaint C., Van Geertruyden J., Vereerstraeten P. Ureterocystostomy in renal transplantation: comparison of endo- and extravesical anastomoses. World J Surg. 1977 Mar;2(1):231–255. doi: 10.1007/BF01665091. [DOI] [PubMed] [Google Scholar]
  6. Jaffers G. J., Cosimi A. B., Delmonico F. L., LaQuaglia M. P., Russell P. S., Young H. H., 2nd Experience with pyeloureterostomy in renal transplantation. Ann Surg. 1982 Nov;196(5):588–593. doi: 10.1097/00000658-198211000-00014. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Kinnaert P., Hall M., Janssen F., Vereerstraeten P., Toussaint C., Van Geertruyden J. Ureteral stenosis after kidney transplantation: true incidence and long-term followup after surgical correction. J Urol. 1985 Jan;133(1):17–20. doi: 10.1016/s0022-5347(17)48766-0. [DOI] [PubMed] [Google Scholar]
  8. Konnak J. W., Herwig K. R., Finkbeiner A., Turcotte J. G., Freier D. T. Extravesical ureteroneocystostomy in 170 renal transplant patients. J Urol. 1975 Mar;113(3):299–301. doi: 10.1016/s0022-5347(17)59467-7. [DOI] [PubMed] [Google Scholar]
  9. Konnak J. W., Herwig K. R., Turcotte J. G. External ureteroneocystostomy in renal transplantation. J Urol. 1972 Sep;108(3):380–381. doi: 10.1016/s0022-5347(17)60747-x. [DOI] [PubMed] [Google Scholar]
  10. Leadbetter G. W., Jr, Monaco A. P., Russell P. S. A technique for reconstruction of the urinary tract in renal transplantation. Surg Gynecol Obstet. 1966 Oct;123(4):839–841. [PubMed] [Google Scholar]
  11. Leary F. J., Woods J. E., DeWeerd J. H. Urologic problems in renal transplantation. Arch Surg. 1975 Sep;110(9):1124–1126. doi: 10.1001/archsurg.1975.01360150068012. [DOI] [PubMed] [Google Scholar]
  12. Libertino J. A., Rote A. R., Zinman L. Ureteral reconstruction in renal transplantation. Urology. 1978 Dec;12(6):641–644. doi: 10.1016/0090-4295(78)90423-5. [DOI] [PubMed] [Google Scholar]
  13. Loughlin K. R., Tilney N. L., Richie J. P. Urologic complications in 718 renal transplant patients. Surgery. 1984 Mar;95(3):297–302. [PubMed] [Google Scholar]
  14. McDonald J. C., Rohr M. S., Frentz G. D. External ureteroneocystostomy and ureteroureterostomy in renal transplantation. Ann Surg. 1979 Nov;190(5):663–667. doi: 10.1097/00000658-197911000-00018. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Meech P. R., Hardie I. R., Hartley L. C., Strong R. W., Woodruff P. W., Hirst G. H., Clunie G. J. Further experience with an external ureterovesical anastomosis in renal transplantation. Aust N Z J Surg. 1979 Dec;49(6):629–633. doi: 10.1111/j.1445-2197.1979.tb06476.x. [DOI] [PubMed] [Google Scholar]
  16. Mehta S. N., Kennedy J. A., Loughridge W. G., Douglas J. F., Donaldson R. A., McGeown M. G. Urological complications in 119 consecutive renal transplants. Br J Urol. 1979 Jun;51(3):184–187. doi: 10.1111/j.1464-410x.1979.tb02862.x. [DOI] [PubMed] [Google Scholar]
  17. Mundy A. R., Podesta M. L., Bewick M., Rudge C. J., Ellis F. G. The urological complications of 1000 renal transplants. Br J Urol. 1981 Oct;53(5):397–402. doi: 10.1111/j.1464-410x.1981.tb03216.x. [DOI] [PubMed] [Google Scholar]
  18. POLITANO V. A., LEADBETTER W. F. An operative technique for the correction of vesicoureteral reflux. J Urol. 1958 Jun;79(6):932–941. doi: 10.1016/S0022-5347(17)66369-9. [DOI] [PubMed] [Google Scholar]
  19. POLITANO V. A., LEADBETTER W. F. An operative technique for the correction of vesicoureteral reflux. J Urol. 1958 Jun;79(6):932–941. doi: 10.1016/S0022-5347(17)66369-9. [DOI] [PubMed] [Google Scholar]
  20. Pfeffermann R., Vidne B., Leapman S., Butt K., Kountz S. Urologic complications in renal primary and retransplantation. Experience with 202 consecutive transplants. Am J Surg. 1976 Feb;131(2):242–245. doi: 10.1016/0002-9610(76)90107-0. [DOI] [PubMed] [Google Scholar]
  21. Sagalowsky A. I., Ransler C. W., Peters P. C., Dickerman R. M., Gailiunas P., Helderman J. H., Hull A. R., Atkins C. Urologic complications in 505 renal transplants with early catheter removal. J Urol. 1983 May;129(5):929–932. doi: 10.1016/s0022-5347(17)52462-3. [DOI] [PubMed] [Google Scholar]
  22. Salvatierra O., Jr, Olcott C., 4th, Amend W. J., Jr, Cochrum K. C., Freduska N. J. Urological complications of renal transplantation can be prevented or controlled. J Urol. 1977 Apr;117(4):421–424. doi: 10.1016/s0022-5347(17)58484-0. [DOI] [PubMed] [Google Scholar]
  23. Santiago-Delpin E. A., Baquero A., Gonzalez Z. Low incidence of urologic complications after renal transplantation. Am J Surg. 1986 Mar;151(3):374–377. doi: 10.1016/0002-9610(86)90472-1. [DOI] [PubMed] [Google Scholar]
  24. Starzl T. E., Groth C. G., Putnam C. W., Penn I., Halgrimson C. G., Flatmark A., Gecelter L., Brettschneider L., Stonington O. G. Urological complications in 216 human recipients of renal transplants. Ann Surg. 1970 Jul;172(1):1–22. [PMC free article] [PubMed] [Google Scholar]
  25. Waltke E. A., Adams M. B., Kauffman H. M., Jr, Sampson D., Hodgson N. B., Lawson R. K. Prospective randomized comparison of urologic complications in end-to-side versus Politano-Leadbetter ureteroneocystostomy in 131 human cadaver renal transplants. J Urol. 1982 Dec;128(6):1170–1172. doi: 10.1016/s0022-5347(17)53406-0. [DOI] [PubMed] [Google Scholar]
  26. Wasnick R. J., Butt K. M., Laungani G., Shirani K., Hong J. H., Adamsons R. J., Waterhouse K. Evaluation of anterior extravesical ureteroneocystostomy in kidney transplantation. J Urol. 1981 Sep;126(3):306–307. doi: 10.1016/s0022-5347(17)54496-1. [DOI] [PubMed] [Google Scholar]
  27. Whelchel D. J., Cosimi A. B., Young H. H., 2nd, Russell P. S. Pyeloureterostomy reconstruction in human renal transplantation. Ann Surg. 1975 Jan;181(1):61–66. doi: 10.1097/00000658-197501000-00014. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Annals of Surgery are provided here courtesy of Lippincott, Williams, and Wilkins

RESOURCES