Should Interventional Radiology or Open Surgery Be the First Choice for the Management of Ureteric Stenosis After Transplantation? Dual-Center Study

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dc.authoridDOGAN, SAIT MURAT/0000-0001-8840-4365
dc.authoridOkut, Gokalp/0000-0002-3641-5625
dc.authoridtatar, erhan/0000-0002-5068-4231
dc.authorwosidUslu, Adam/HJZ-1454-2023
dc.authorwosidDOGAN, SAIT MURAT/AAP-7924-2021
dc.authorwosidOkut, Gokalp/GRE-9040-2022
dc.authorwosidPiskin, Turgut/HKV-8614-2023
dc.contributor.authorSimsek, C.
dc.contributor.authorDogan, S. M.
dc.contributor.authorPiskin, T.
dc.contributor.authorOkut, G.
dc.contributor.authorCayhan, K.
dc.contributor.authorAykas, A.
dc.contributor.authorTatar, E.
dc.date.accessioned2024-08-04T20:43:02Z
dc.date.available2024-08-04T20:43:02Z
dc.date.issued2017
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground. Ureteric stenosis (US) is the most common urologic complication after kidney transplantation. In this dual-center retrospective study we compared the efficacy and safety of open surgery versus interventional radiology for the management of US. Methods. From 2009 to January 2016, US was treated by surgical revision in 22 (7.8%) out of 281 recipients at one center (group 1) and managed by percutaneous nephrostomy with antegrade nephroureteral stenting (PNAS) in 22 (14.2%) out of 155 recipients at the other center (group 2). Results. Three patients in group 1 required reintervention and again were treated with open surgery. With a mean follow-up of 42.1 +/- 38.7 months, graft function improved in all but one patients (95%). Three patients in group 2 were admitted with relapse of US not amenable to 2nd PNAS, and 2 of them were managed with surgery. These 3 and 2 other cases with improved graft function after PNAS lost their grafts and returned to hemodialysis. The remaining 17 patients (77%) still have functioning grafts. There was no statistically significant difference between the efficacy of PNAS and open surgery for the management of post-transplantation US. However; a benefit in favor of open surgery existed for type 2 urinary tract obstruction in terms of decreased reintervention rate and much better protection of the graft function and survival. Conclusions. Both interventional radiology and open surgery have acceptable efficacy rates in the management of ureteric complications after renal transplantation. Open surgery is a better treatment option for type 2 obstruction.en_US
dc.identifier.doi10.1016/j.transproceed.2017.01.018
dc.identifier.endpage522en_US
dc.identifier.issn0041-1345
dc.identifier.issn1873-2623
dc.identifier.issue3en_US
dc.identifier.pmid28340825en_US
dc.identifier.scopus2-s2.0-85015837877en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage517en_US
dc.identifier.urihttps://doi.org/10.1016/j.transproceed.2017.01.018
dc.identifier.urihttps://hdl.handle.net/11616/97740
dc.identifier.volume49en_US
dc.identifier.wosWOS:000398017900029en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofTransplantation Proceedingsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectRenal-Transplantationen_US
dc.subjectKidney-Transplantationen_US
dc.subjectUrological Complicationsen_US
dc.subjectPercutaneous Nephrostomyen_US
dc.subjectBoari Flapen_US
dc.subjectPyeloureterostomyen_US
dc.subjectExperienceen_US
dc.subjectUreteroneocystostomyen_US
dc.subjectObstructionsen_US
dc.subjectRecipientsen_US
dc.titleShould Interventional Radiology or Open Surgery Be the First Choice for the Management of Ureteric Stenosis After Transplantation? Dual-Center Studyen_US
dc.typeArticleen_US

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