ArticleInternational urology and nephrology2026
Low rate of developing urological complications following kidney transplantation in adults using a stentless ureteral anastomosis.
Article in International urology and nephrology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
- Commented on by
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeSevere urologic complications after kidney transplantation may require multiple radiological or surgical interventions. MATERIALS AND
methodsWe previously reported outcomes using our modified extravesical ureteroneocystostomy technique which was designed to avoid routine stent placement at the time of transplant as well as to reduce post-operative urologic complications. Here, we reviewed 697 adult kidney-alone transplant recipients who were consecutively transplanted by a single surgeon at our center since 2014.
resultsDuring the first 12mo post-transplant, the observed percentage of patients who developed any urologic complication was 2.3% (16/697), and 2/16 patients developed a 2nd urologic complication (in total, 18 cases). The percentage developing a urinary leak or ureteral obstruction/stricture (including suspected cases) was 2.0% (14/697). Urinary leaks were observed in 9/18 cases, and ureteral obstructions/strictures were observed in 9/18 cases (including 3 UPJ obstructions). Additionally, ureteral necrosis was observed in 3/18 cases. Grade 4 vesicoureteral reflux was observed in 1 case, and one bladder rupture involving the ureteral anastomosis was observed (during an attempted removal of a large, suprapubic hematoma). Half of the 18 urologic cases required surgical intervention, while the rest of them were managed by interventional radiology. These outcomes compare favorably with published series, particularly those using routine ureteral stenting.
conclusionsOur extravesical ureteroneocystostomy technique appears to significantly reduce early post-transplant urological complications without the need for ureteral stent placement at the time of transplant. However, without having a direct control group, one cannot conclude that our extravesical ureteroneocystostomy approach without stenting is equivalent to optimally performed extravesical Lich-Gregoir ureteroneocystostomies with routine stenting.
Indexed as
Identifiers
42446792What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.