The Tied Double J Stent: A Novel Method forPreventing Early Ureteric Complications in RenalTransplantation

Context: The value of the double J stent in renal transplantation is controversial. However prolonged stenting is associated with major urological complications including sepsis, encrustation, migration and forgotten stents. Aim: This study reviewed our retrospective experience of 672 renal transplants in which the tied double J stent was used and removed five to six days post transplantation. Settings and Design: Retrospective analysis of all consecutive renal transplants done at our centre. Material and Methods: 672 consecutive renal transplants in which the tied double J stent was used. The incidence of major urological complications and infections was evaluated on a follow up of six months. Results: The urinary leak rate was .01% and the incidence of symptomatic urinary tract infection was 10.6%. Six out of seven leaks responded to radiological intervention in the form of per cutaneous nephrostomy ante-grade stenting and pig tail catheter drainage. The remaining one responded to prolonged catheterisation. Conclusion: The tied double J stent is an attractive alternative to routine stenting in renal transplant recipients.