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KADAVERİK BÖBREK NAKLİNDE İNTRAOPERATİF ÜRETERAL KATETER KULLANIMININ BAKTERİÜRİ VE KOMPLİKASYON OLUŞUMUNA ETKİSİ

Yıl 2023, Cilt: 86 Sayı: 2, 103 - 108, 30.03.2023
https://doi.org/10.26650/IUITFD.1186419

Öz

Amaç: Kadaverik böbrek naklinde, intraoperatif üreteral kateter kullanımının bakteriüri ve ürolojik komplikasyonlara olan etkisini incelemeyi amaçladık. Gereç ve Yöntem: Bu kesitsel çalışmada İstanbul Üniversitesi, İstanbul Tıp Fakültesi Transplantasyon Ünitesi’nde kadavradan böbrek nakli yapılan 150 hasta çalışmaya alındı. Üreteral kateter kullanılmayan 78 hasta ve üreteral kateter kullanılan 72 hasta olduğu tespit edildi. Bu iki hasta grubu postoperatif erken dönem ürolojik komplikasyonlar, nakil sonrası 1. ayda görülen bakteriüri varlığı açısından karşılaştırıldı. Bulgular: Üreteral kateter kullanılan olgularda, postoperatif erken dönem ürolojik komplikasyon sıklığı anlamlı düzeyde azalmıştır (p=0,004). İlginç bir şekilde üreteral kateter kullanılan hastalarda, nakil sonrası birinci ayda görülen bakteriüri sıklığı da anlamlı düzeyde azalmıştır (p<0,001). Üreteral kateter kullanılan hastalarda, anti-timosit globulin kullanım süresi (p=0,003) ve foley kateter kullanım süresi (p<0,001) üreteral kateter kullanılmayan gruba göre anlamlı düzeyde kısa saptanmıştır. Sonuç: Kadaverik böbrek nakli olgularında rutin üreteral kateter kullanımında ürolojik komplikasyonlar daha az görülmektedir. Kateter kullanılan grupta erken bakteriüri görülme riskinin artmadığı hatta azalmış olduğu saptanmıştır. Bu anlamlı düzeyde azalmanın, üreteral kateterli hasta grubunda anti-timosit globulin kullanım süresi ve foley kateter kullanım süresinin anlamlı düzeyde kısa olması ile ilşkili olduğu düşünülmüştür. Bu nedenle kadaverik böbrek naklinde rutin intraoperatif üreteral kateter kullanımı önerilmektedir.

Kaynakça

  • 1. Kocak T, Nane I, Ander H, Ziylan O, Oktar T, Ozsoy C. Urological and surgical complications in 362 consecutive living related donor kidney transplantations. Urol Int 2004;72(3):252-6. [CrossRef] google scholar
  • 2. Gogus C, Yaman O, Soygur T, Beduk Y, Gogus O. Urological complications in renal transplantation: long-term follow-up of the Woodruff ureteroneocystostomy procedure in 433 patients. Urol Int 2002;69(2):99-101. [CrossRef] google scholar
  • 3. Kumar A, Verma BS, Srivastava A, Bhandari M, Gupta A, Sharma R. Evaluation of the urological complications of living related renal transplantation at a single centre during the last ten years: impact of the double J stent. J Urol 2000;164(3 Pt 1):657-60. [CrossRef] google scholar
  • 4. Rigg KM, Proud G, Taylor RM. Urological complications following renal transplantation. A study of 1016 consecutive transplants from a single centre. Transpl Int 1994;7(2):120-6. [CrossRef] google scholar
  • 5. Karam G, Maillet F, Parant S, Soulillou JP, Giral Classe M. Ureteral necrosis after kidney transplantation: risk factors and impact on graft and patient survival. Transplantation 2004;78(5):725-9. [CrossRef] google scholar
  • 6. French CG, Acott PD, Crocker JFS, Bitter-Suermann H, Lawen JG. Extravesical ureteroneocystostomy with and without internalized ureteric stents in pediatric renal transplantation. Pediatr Transplant 2001;5(1):21-6. [CrossRef] google scholar
  • 7. Süleymanlar G, Utaş C, Arinsoy T, Ateş K, Altun B, Altiparmak MR, et al. A population-based survey of Chronic REnal Disease in Turkey - the CREDIT study. Nephrol Dial Transplant 2011;26(6):1862-71. [CrossRef] google scholar
  • 8. Thomalla JV, Leapman SB, Filo RS. The use of internalised ureteric stents in renal transplant recipients. Br J Urol 1990;66(4):363-8. [CrossRef] google scholar
  • 9. Ranganathan M, Akbar M, Ilham MA, Chavez R, Kumar N, Asderakis A. Infective complications associated with ureteral stents in renal transplant recipients. Transplant Proc 2009;41(1):162-4. [CrossRef] google scholar
  • 10. Chordia P, Schain D, Kayler L. Effects of ureteral stents on risk of bacteriuria in renal allograft recipients. Transpl Infect Dis 2013;15(3):268-75. [CrossRef] google scholar
  • 11. Wilson CH, Rix DA, Manas DM. Routine intraoperative ureteric stenting for kidney transplant recipients. Cochrane Database Syst Rev 2013;(6):CD004925. [CrossRef] google scholar
  • 12. Lin LC, Bewick M, Koffman CG. Primary use of a double J silicone ureteric stent in renal transplantation. Br J Urol 1993;72(5 Pt 2):697-701. [CrossRef] google scholar
  • 13. Bardapure M, Sharma A, Hammad A. Forgotten ureteric stents in renal transplant recipients: Three case reports. Saudi J Kidney Dis Transpl 2014;25(1):109-12. [CrossRef] google scholar
  • 14. Liu S, Luo G, Sun B, Lu J, Zu Q, Yang S, et al. Early removal of double-J stents decreases urinary tract infections in living donor renal transplantation: A prospective randomized clinical trial. Transpl Proc 2017;49(2):297-302. [CrossRef] google scholar
  • 15. Patel P, Rebollo-Mesa I, Ryan E, Sinha MD, Marks SD, Banga N, et al. Prophylactic ureteric stents in renal transplant recipients: a multicenter randomized controlled trial of early versus late removal. Am J Transplant 2017;17(8):2129-38. [CrossRef] google scholar
  • 16. Mukherjee D, Sharma S, Nair RK, Datt B, Arora D, Rao A Urinary tract infection in renal transplant recipients at a tertiary care center in India. Saudi J Kidney Dis Transpl 2018;29(2):361-8. [CrossRef] google scholar
  • 17. Zomorrodi A, Kakei F, Bagheri A, Zomorrodi S, Mohammadrahimi M. Does early removal of Foley’s catheter have any influence on infection of recipient post renal transplantation? Is it safe? A randomized clinical trial. J Nephropathol 2018;7(3):122-6. [CrossRef] google scholar

THE EFFECT OF INTRAOPERATIVE URETERAL CATHETER USAGE ON BACTERIURIA AND COMPLICATIONS IN DECEASED DONOR RENAL TRANSPLANTATION

Yıl 2023, Cilt: 86 Sayı: 2, 103 - 108, 30.03.2023
https://doi.org/10.26650/IUITFD.1186419

Öz

Objective: The use of ureteral catheters in renal transplantation is controversial. We aimed to investigate the effect of intraoperative catheter use on bacteriuria and urological complications in deceased donor renal transplantation. Material and Method: Study design is cross sectional study. A total of 150 patients who underwent deceased donor renal transplantation in the Istanbul University Istanbul Faculty of Medicine Transplantation Unit were included in the study. Ureteral catheters were used in 72 patients but not in the remaining 78. The two patient groups were compared in terms of the incidence of early postoperative urological complications and bacteriuria in the first month after transplantation. Result: Ureteral catheter usage significantly reduced the frequency of early postoperative urological complications (p=0.004). The frequency of bacteriuria in the first month after transplantation was significantly lower in patients using ureteral catheters (p<0.001). In patients with ureteral catheters, the duration of anti-thymocyte globulin administration (p=0.003) and Foley catheter usage (p<0.001) was found to be significantly shorter than in the group without ureteral catheters. Conclusion: The routine use of ureteral catheters results in fewer urological complications in patients with deceased donor renal transplantation. Catheter use does not increase, and even lowers, the risk of early bacteriuria. The significant reduction in early bacteriuria in patients with ureteral catheters is associated with significantly shorter durations of anti-thymocyte globulin and Foley catheter usage. Therefore, the routine use of intraoperative ureteral catheters is recommended in deceased donor renal transplantation.

Kaynakça

  • 1. Kocak T, Nane I, Ander H, Ziylan O, Oktar T, Ozsoy C. Urological and surgical complications in 362 consecutive living related donor kidney transplantations. Urol Int 2004;72(3):252-6. [CrossRef] google scholar
  • 2. Gogus C, Yaman O, Soygur T, Beduk Y, Gogus O. Urological complications in renal transplantation: long-term follow-up of the Woodruff ureteroneocystostomy procedure in 433 patients. Urol Int 2002;69(2):99-101. [CrossRef] google scholar
  • 3. Kumar A, Verma BS, Srivastava A, Bhandari M, Gupta A, Sharma R. Evaluation of the urological complications of living related renal transplantation at a single centre during the last ten years: impact of the double J stent. J Urol 2000;164(3 Pt 1):657-60. [CrossRef] google scholar
  • 4. Rigg KM, Proud G, Taylor RM. Urological complications following renal transplantation. A study of 1016 consecutive transplants from a single centre. Transpl Int 1994;7(2):120-6. [CrossRef] google scholar
  • 5. Karam G, Maillet F, Parant S, Soulillou JP, Giral Classe M. Ureteral necrosis after kidney transplantation: risk factors and impact on graft and patient survival. Transplantation 2004;78(5):725-9. [CrossRef] google scholar
  • 6. French CG, Acott PD, Crocker JFS, Bitter-Suermann H, Lawen JG. Extravesical ureteroneocystostomy with and without internalized ureteric stents in pediatric renal transplantation. Pediatr Transplant 2001;5(1):21-6. [CrossRef] google scholar
  • 7. Süleymanlar G, Utaş C, Arinsoy T, Ateş K, Altun B, Altiparmak MR, et al. A population-based survey of Chronic REnal Disease in Turkey - the CREDIT study. Nephrol Dial Transplant 2011;26(6):1862-71. [CrossRef] google scholar
  • 8. Thomalla JV, Leapman SB, Filo RS. The use of internalised ureteric stents in renal transplant recipients. Br J Urol 1990;66(4):363-8. [CrossRef] google scholar
  • 9. Ranganathan M, Akbar M, Ilham MA, Chavez R, Kumar N, Asderakis A. Infective complications associated with ureteral stents in renal transplant recipients. Transplant Proc 2009;41(1):162-4. [CrossRef] google scholar
  • 10. Chordia P, Schain D, Kayler L. Effects of ureteral stents on risk of bacteriuria in renal allograft recipients. Transpl Infect Dis 2013;15(3):268-75. [CrossRef] google scholar
  • 11. Wilson CH, Rix DA, Manas DM. Routine intraoperative ureteric stenting for kidney transplant recipients. Cochrane Database Syst Rev 2013;(6):CD004925. [CrossRef] google scholar
  • 12. Lin LC, Bewick M, Koffman CG. Primary use of a double J silicone ureteric stent in renal transplantation. Br J Urol 1993;72(5 Pt 2):697-701. [CrossRef] google scholar
  • 13. Bardapure M, Sharma A, Hammad A. Forgotten ureteric stents in renal transplant recipients: Three case reports. Saudi J Kidney Dis Transpl 2014;25(1):109-12. [CrossRef] google scholar
  • 14. Liu S, Luo G, Sun B, Lu J, Zu Q, Yang S, et al. Early removal of double-J stents decreases urinary tract infections in living donor renal transplantation: A prospective randomized clinical trial. Transpl Proc 2017;49(2):297-302. [CrossRef] google scholar
  • 15. Patel P, Rebollo-Mesa I, Ryan E, Sinha MD, Marks SD, Banga N, et al. Prophylactic ureteric stents in renal transplant recipients: a multicenter randomized controlled trial of early versus late removal. Am J Transplant 2017;17(8):2129-38. [CrossRef] google scholar
  • 16. Mukherjee D, Sharma S, Nair RK, Datt B, Arora D, Rao A Urinary tract infection in renal transplant recipients at a tertiary care center in India. Saudi J Kidney Dis Transpl 2018;29(2):361-8. [CrossRef] google scholar
  • 17. Zomorrodi A, Kakei F, Bagheri A, Zomorrodi S, Mohammadrahimi M. Does early removal of Foley’s catheter have any influence on infection of recipient post renal transplantation? Is it safe? A randomized clinical trial. J Nephropathol 2018;7(3):122-6. [CrossRef] google scholar
Toplam 17 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm ARAŞTIRMA
Yazarlar

Bahar Canbay Torun 0000-0002-6353-6692

Adem Bayraktar 0000-0002-0463-6335

Ali Emin Aydın 0000-0002-1045-7309

Hüseyin Bakkaloğlu 0000-0002-3892-196X

Yayımlanma Tarihi 30 Mart 2023
Gönderilme Tarihi 9 Ekim 2022
Yayımlandığı Sayı Yıl 2023 Cilt: 86 Sayı: 2

Kaynak Göster

APA Canbay Torun, B., Bayraktar, A., Aydın, A. E., Bakkaloğlu, H. (2023). THE EFFECT OF INTRAOPERATIVE URETERAL CATHETER USAGE ON BACTERIURIA AND COMPLICATIONS IN DECEASED DONOR RENAL TRANSPLANTATION. Journal of Istanbul Faculty of Medicine, 86(2), 103-108. https://doi.org/10.26650/IUITFD.1186419
AMA Canbay Torun B, Bayraktar A, Aydın AE, Bakkaloğlu H. THE EFFECT OF INTRAOPERATIVE URETERAL CATHETER USAGE ON BACTERIURIA AND COMPLICATIONS IN DECEASED DONOR RENAL TRANSPLANTATION. İst Tıp Fak Derg. Mart 2023;86(2):103-108. doi:10.26650/IUITFD.1186419
Chicago Canbay Torun, Bahar, Adem Bayraktar, Ali Emin Aydın, ve Hüseyin Bakkaloğlu. “THE EFFECT OF INTRAOPERATIVE URETERAL CATHETER USAGE ON BACTERIURIA AND COMPLICATIONS IN DECEASED DONOR RENAL TRANSPLANTATION”. Journal of Istanbul Faculty of Medicine 86, sy. 2 (Mart 2023): 103-8. https://doi.org/10.26650/IUITFD.1186419.
EndNote Canbay Torun B, Bayraktar A, Aydın AE, Bakkaloğlu H (01 Mart 2023) THE EFFECT OF INTRAOPERATIVE URETERAL CATHETER USAGE ON BACTERIURIA AND COMPLICATIONS IN DECEASED DONOR RENAL TRANSPLANTATION. Journal of Istanbul Faculty of Medicine 86 2 103–108.
IEEE B. Canbay Torun, A. Bayraktar, A. E. Aydın, ve H. Bakkaloğlu, “THE EFFECT OF INTRAOPERATIVE URETERAL CATHETER USAGE ON BACTERIURIA AND COMPLICATIONS IN DECEASED DONOR RENAL TRANSPLANTATION”, İst Tıp Fak Derg, c. 86, sy. 2, ss. 103–108, 2023, doi: 10.26650/IUITFD.1186419.
ISNAD Canbay Torun, Bahar vd. “THE EFFECT OF INTRAOPERATIVE URETERAL CATHETER USAGE ON BACTERIURIA AND COMPLICATIONS IN DECEASED DONOR RENAL TRANSPLANTATION”. Journal of Istanbul Faculty of Medicine 86/2 (Mart 2023), 103-108. https://doi.org/10.26650/IUITFD.1186419.
JAMA Canbay Torun B, Bayraktar A, Aydın AE, Bakkaloğlu H. THE EFFECT OF INTRAOPERATIVE URETERAL CATHETER USAGE ON BACTERIURIA AND COMPLICATIONS IN DECEASED DONOR RENAL TRANSPLANTATION. İst Tıp Fak Derg. 2023;86:103–108.
MLA Canbay Torun, Bahar vd. “THE EFFECT OF INTRAOPERATIVE URETERAL CATHETER USAGE ON BACTERIURIA AND COMPLICATIONS IN DECEASED DONOR RENAL TRANSPLANTATION”. Journal of Istanbul Faculty of Medicine, c. 86, sy. 2, 2023, ss. 103-8, doi:10.26650/IUITFD.1186419.
Vancouver Canbay Torun B, Bayraktar A, Aydın AE, Bakkaloğlu H. THE EFFECT OF INTRAOPERATIVE URETERAL CATHETER USAGE ON BACTERIURIA AND COMPLICATIONS IN DECEASED DONOR RENAL TRANSPLANTATION. İst Tıp Fak Derg. 2023;86(2):103-8.

Contact information and address

Addressi: İ.Ü. İstanbul Tıp Fakültesi Dekanlığı, Turgut Özal Cad. 34093 Çapa, Fatih, İstanbul, TÜRKİYE

Email: itfdergisi@istanbul.edu.tr

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