Brief Article
Copyright ©2013 Baishideng Publishing Group Co.
World J Transplant. Mar 24, 2013; 3(1): 1-6
Published online Mar 24, 2013. doi: 10.5500/wjt.v3.i1.1
Table 1 Indications for stent placement during the initial transplant procedure n (%)
ReasonComments
Routine159 (86.9)
Ureter related9 (4.9)e.g., Stripped ureter
Poor kidney perfusion6 (3.3)
Contracted/thin bladder3 (1.6)Compliance mismatch
Technical factors3 (1.6)e.g., intra-abdominal implantation
Ileal conduit1 (0.5)
Small kidney1 (0.5)Concern about size of renal artery
Long cold ischaemia time (> 24 h)1 (0.5)
Total183 (99.8)
Table 2 Comparison of groups with or without stent at initial transplant procedure n (%)
ParameterStented group (n = 183)Without stent group (n = 102)P value
Gender (male)118 (65)63 (62)0.648
Age (yr), mean ± SE52.4 ± 1.0 (53.7)149.1 ± 1.3 (50.6)10.035
Diabetes31 (17)13 (13)0.347
BMI > 30 kg/m239 (21)21 (21)0.531
Vesico-ureteric reflux11 (6)14 (14)0.031
First transplant151 (83)89 (87)0.315
Type of transplant
DCD111 (61)78 (77)0.023
DBD12 (7)5 (5)
LD60 (33)19 (19)
Delayed graft function55 (30)35 (34)0.595
Septrin173 (99)91 (93)0.002
Urine leak7 (4)5 (5)0.746
Ureter stenosis6 (3)7 (7)0.359
Ureter necrosis1 (0.5)0 (0)
Infection91 (53)40 (42)0.075
Operation-infection interval (d)
mean ± SE28.1 ± 3.733.3 ± 6.20.451
Median10.511.0
Table 3 Effect of stent use on various outcome parameters, and infection and type of urological infection on allograft function
Cr6Cr12eGFR6eGFR12
Stent
Yes
mean ± SE137.5 ± 4.6139.7 ± 4.750.9 ± 1.349.9 ± 1.3
Median123.51255249.5
n 180176180176
No
mean ± SE132.4 ± 5.6124.4 ± 5.452.1 ± 1.954.8 ± 2.1
Median120.51205255
n78747773
F-statistic0.423.6030.2564.047
P value0.5170.0590.6140.045
Parameters
Infection
Yes
mean ± SE143.1 ± 6.2144.0 ± 6.249.5 ± 1.648.9 ± 1.7
n 121118120117
No
mean ± SE128.0 ± 4.0125.5 ± 4.353.4 ± 1.454.4 ± 1.4
n 123119123119
F-statistic2.2323.1232.1544.038
P value0.1090.0460.1180.019
Infection type
UTI
mean ± SE140.6 ± 6.9139.8 ± 6.850.2 ± 1.850.3 ± 1.8
n 105104104103
MUI
mean ± SE156.4 ± 11.5167.6 ± 11.645.8 ± 3.841.3 ± 3.7
n18161816
F-statistic0.5581.2990.5241.783
P value0.5740.2770.5930.173