Corner-saving anastomosis technique, Outcome Urologic complications associated with the ureter- ovesical anastomosis after transplantation

Urologic complications associated with the ureterovesical anastomosis after transplantation may cause graft loss and mortality [1]. Today, extravesical ureteroneocystostomy has become a popular procedure to reestablish urinary tract continuity in renal transplantation. Complication rates vary from around 20% to less than 5% [2, 3]. At many transplantation centers, surgeons have adopted new suture techniques. Several preventive measures have been added to this technique to prevent urologic complications [3]. To avoid urologic complications, clinicians at some transplant centers routinely prefer stenting, [4] for this maneuver avoids anastomotic tension, kinking, and ureteral narrowing. At our center, we have used a corner-saving ureteral reimplantation technique for renal transplantation since September 2003. Technical details were reported previously [5]. In this study, we present the outcome of our first 174 patients who had a ureteral reimplantation with the corner-saving technique without stenting.