Does early removal of double J stents reduce urinary infection in living donor renal transplantation?

Introduction Prophylactic use of double J (DJ) stents in recipients is highly accepted in renal transplantation. In this study, the association between the frequency of urologic complications (UC) and urinary tract infections (UTI), and the early or late removal of DJ stents was investigated. Mater...

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Autores principales:	Lütfi Soylu, Oguz Ugur Aydin, Muzaffet Atli, Ceren Gunt, Yakup Ekmekci, Nedim Cekmen, Sedat Karademir
Formato:	article
Lenguaje:	EN
Publicado:	Termedia Publishing House 2019
Materias:	kidney transplantation urinary tract infection catheter Medicine R
Acceso en línea:	https://doaj.org/article/ada8703664be49ac96ab18c7c212e0a8
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spelling	oai:doaj.org-article:ada8703664be49ac96ab18c7c212e0a82021-12-02T18:39:09ZDoes early removal of double J stents reduce urinary infection in living donor renal transplantation?1734-19221896-915110.5114/aoms.2018.73524https://doaj.org/article/ada8703664be49ac96ab18c7c212e0a82019-03-01T00:00:00Zhttps://www.archivesofmedicalscience.com/Does-early-removal-of-double-J-stents-reduce-urinary-infection-in-living-donor-renal,83734,0,2.htmlhttps://doaj.org/toc/1734-1922https://doaj.org/toc/1896-9151Introduction Prophylactic use of double J (DJ) stents in recipients is highly accepted in renal transplantation. In this study, the association between the frequency of urologic complications (UC) and urinary tract infections (UTI), and the early or late removal of DJ stents was investigated. Material and methods A total of 116 live-donor renal transplant patients were included in the study during a 4-year period, with a mean follow-up of 29.2 ±15.3 months. In all, DJ stents were used. All patients were clinically monitored for graft function by assessment of the complete blood count, renal biochemistry, urine analysis and blood drug level according to our follow-up protocol. Results The patients were divided into 2 groups according to the time of their stent removal: group I (n = 44), removal within the first 14 days; and group II (n = 72), removal after 14 days. No urinary leaks were detected in either of the groups. Three patients suffered from anastomotic stricture (group I, n = 1; group II, n = 2). The rates of UTI were similar in groups I and II (13.6% vs. 16.6%, respectively, p = 0.79). The rate of UTI in women was found to be 3.8 times higher than in men. Conclusions The results of our study demonstrated that DJ stent removal within 14 days did not reduce the risk of UTI when compared to stent removal after 14 days. Similar effects on complication rates for ureteral stenting for these 2 removal periods were observed.Lütfi SoyluOguz Ugur AydinMuzaffet AtliCeren GuntYakup EkmekciNedim CekmenSedat KarademirTermedia Publishing Housearticlekidney transplantationurinary tract infectioncatheterMedicineRENArchives of Medical Science, Vol 15, Iss 2, Pp 402-407 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	kidney transplantation urinary tract infection catheter Medicine R
spellingShingle	kidney transplantation urinary tract infection catheter Medicine R Lütfi Soylu Oguz Ugur Aydin Muzaffet Atli Ceren Gunt Yakup Ekmekci Nedim Cekmen Sedat Karademir Does early removal of double J stents reduce urinary infection in living donor renal transplantation?
description	Introduction Prophylactic use of double J (DJ) stents in recipients is highly accepted in renal transplantation. In this study, the association between the frequency of urologic complications (UC) and urinary tract infections (UTI), and the early or late removal of DJ stents was investigated. Material and methods A total of 116 live-donor renal transplant patients were included in the study during a 4-year period, with a mean follow-up of 29.2 ±15.3 months. In all, DJ stents were used. All patients were clinically monitored for graft function by assessment of the complete blood count, renal biochemistry, urine analysis and blood drug level according to our follow-up protocol. Results The patients were divided into 2 groups according to the time of their stent removal: group I (n = 44), removal within the first 14 days; and group II (n = 72), removal after 14 days. No urinary leaks were detected in either of the groups. Three patients suffered from anastomotic stricture (group I, n = 1; group II, n = 2). The rates of UTI were similar in groups I and II (13.6% vs. 16.6%, respectively, p = 0.79). The rate of UTI in women was found to be 3.8 times higher than in men. Conclusions The results of our study demonstrated that DJ stent removal within 14 days did not reduce the risk of UTI when compared to stent removal after 14 days. Similar effects on complication rates for ureteral stenting for these 2 removal periods were observed.
format	article
author	Lütfi Soylu Oguz Ugur Aydin Muzaffet Atli Ceren Gunt Yakup Ekmekci Nedim Cekmen Sedat Karademir
author_facet	Lütfi Soylu Oguz Ugur Aydin Muzaffet Atli Ceren Gunt Yakup Ekmekci Nedim Cekmen Sedat Karademir
author_sort	Lütfi Soylu
title	Does early removal of double J stents reduce urinary infection in living donor renal transplantation?
title_short	Does early removal of double J stents reduce urinary infection in living donor renal transplantation?
title_full	Does early removal of double J stents reduce urinary infection in living donor renal transplantation?
title_fullStr	Does early removal of double J stents reduce urinary infection in living donor renal transplantation?
title_full_unstemmed	Does early removal of double J stents reduce urinary infection in living donor renal transplantation?
title_sort	does early removal of double j stents reduce urinary infection in living donor renal transplantation?
publisher	Termedia Publishing House
publishDate	2019
url	https://doaj.org/article/ada8703664be49ac96ab18c7c212e0a8
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Does early removal of double J stents reduce urinary infection in living donor renal transplantation?

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