Abstract：
INTRODUCTION:This article reports outcomes of 2 patients who received a single-stage renal transplantation and concomitant urinary-diversion procedure. TECHNICAL CONSIDERATIONS:We followed the clinical diagnosis and outcome of 2 patients who underwent renal transplantation and urinary diversion as a single-stage procedure by retrospectively reviewing a Hartford Hospital Institutional Review Board-approved kidney database. Patient demographics, renal function, and surgical outcomes were examined. CONCLUSION:Two patients underwent a simultaneous renal transplantation-ileal conduit creation to surgically manage their end-stage renal disease. One patient did not have any surgical complications, whereas the other suffered from a postoperative ileus (Clavien grade 3a), atrial fibrillation (Clavien grade 2), hypertension (Clavien grade 2), methicillin-resistant Staphylococcus aureus at the incisional site (Clavien grade 2), and a positive urine culture managed using antibiotics (Clavien grade 2). No major complications were observed and both have favorable outcomes at 23 and 19 months after surgery, respectively. This report demonstrates the feasibility and safety of single-stage renal transplantation and urinary diversion in select patients with end-stage renal disease status after cystectomy. To our knowledge, this is the first report of this novel technique.
journal_name
Urologyjournal_title
Urologyauthors
Cusano A,Meraney AM,Abarzua-Cabezas F,Lally A,Brown M,Shichman Sdoi
10.1016/j.urology.2014.03.030subject
Has Abstractpub_date
2014-07-01 00:00:00pages
232-6issue
1eissn
0090-4295issn
1527-9995pii
S0090-4295(14)00343-4journal_volume
84pub_type
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