Author(s): Lasaponara F, Dalmasso E, Bosio A, Pasquale G, Sedigh O,
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Abstract OBJECTIVES: To evaluate the outcome of renal transplants using donor grafts with complete ureteral duplication. MATERIALS AND METHODS: Between 1999 and 2011, we performed 1368 kidney transplant procedures, including 87 dual kidney transplants. There were 12 transplants with donor kidneys that had complete ureteral duplication, including 2 patients who had grafts with ureteral duplication that were used to perform a dual kidney transplant. In 11 patients with ureteral duplication, the 2 ureters were anastomosed separately to the bladder with a double Lich-Gregoir technique; in 1 patient, a ureteroureteral terminolateral anastomosis and single ureteroneocystostomy were performed. RESULTS: Urinary tract infections were noted during the first year after transplant in 7 patients (58\%) that had kidney grafts with duplicated ureters (4 patients with 1 infection each; 3 patients with 2 infections each), but none developed pyelonephritis, functional impairment, or graft loss. There were no other urologic or renal complications observed in recipients of grafts with ureteral duplication. CONCLUSIONS: Donor kidneys with ureteral duplication may be used in renal transplant. The double Lich-Gregoir technique may provide excellent results.
This article was published in Exp Clin Transplant
and referenced in Journal of Transplantation Technologies & Research