RT Journal
A1 Palmer JM, Kountz SL, Swenson RS, Lucas ZJ, Cohn R
T1 URinary tract morbidity in renal transplantation
JF Archives of Surgery
JO Archives of Surgery
YR 1969
FD March 1
VO 98
IS 3
SP 352
OP 356
DO 10.1001/archsurg.1969.01340090128024
UL http://dx.doi.org/10.1001/archsurg.1969.01340090128024
AB Current progress in the field of renal allotransplantation may make this experimental modality a commonplace therapeutic procedure in medical centers throughout the country. The problems of allograft rejection far outweigh technical difficulties with the vascular anastomoses. This is not true, however, with ureteral reconstitution. As the ability to counteract the early rejection crisis improves, the morbidity and complications resulting from ureteral surgery become manifest. Ureterocutaneous fistulae are common complications and their incidence has prompted the development of several new techniques, some hitherto untried in clinical surgery. Starzl1 has advocated a seromuscular ureteroureteral anastomosis with fine silk which in his hands and others has given excellent results.2 Leadbetter has reported a pyeloureteric anastomosis with equal success.3 The Politano-Leadbetter procedure4 has been employed in many centers with satisfactory results. The variety of surgical operations utilized attests to the frequency of problems encountered. Since it is often difficult to