Surgical correction of vesico-ureteric reflux for recurrent febrile urinary tract infections after kidney transplantation

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dc.contributor.authorDinckan, Ayhan
dc.contributor.authorAliosmanoglu, Ibrahim
dc.contributor.authorKocak, Huseyin
dc.contributor.authorGunseren, Filiz
dc.contributor.authorMesci, Ayhan
dc.contributor.authorErtug, Zeki
dc.contributor.authorYucel, Selcuk
dc.date.accessioned2024-04-24T17:11:25Z
dc.date.available2024-04-24T17:11:25Z
dc.date.issued2013
dc.departmentDicle Üniversitesien_US
dc.description.abstractObjective To evaluate the outcome of anti-reflux revision surgery in patients diagnosed with at least a grade 3 reflux at voiding cysto-urethrography in patients with recurrent urinary tract infection (UTI) after renal transplantation. Patients and Methods We identified 60 patients with a diagnosis of recurrent febrile UTI and post-transplantation vesico-ureteric reflux (VUR) who underwent open surgical correction of reflux. Patient characteristics, including the aetiology of end-stage renal disease, age, time to VUR correction, type of VUR correction, serum creatinine levels, and number of UTIs before and after correction were documented. Results The median (range) age of the patients was 31.5 (9-65) years. A total of 30 patients underwent uretero-ureterostomy or pyelo-ureterostomy and 30 underwent extravesical or intravesical ureteric reimplantation. The median (range) creatinine levels before and after correction were 1.5 (0.8-4.5) mg/dL and 1.3 (0.7-4.5) mg/dL (P<0.05), respectively. The median (range) number of UTI episodes reported before the correction surgery was 4 (3-12), whereas number of UTI episodes after the surgery was 1 (0-12), the difference being significant (P<0.05). ConclusionsOpen surgical correction of post-transplant VUR is an effective and safe method of decreasing UTI episodes and stopping reflux. Surgical correction of reflux may prolong the life of the renal graft.en_US
dc.identifier.doi10.1111/bju.12016
dc.identifier.endpageE371en_US
dc.identifier.issn1464-4096
dc.identifier.issn1464-410X
dc.identifier.issue4en_US
dc.identifier.pmid23444978
dc.identifier.scopus2-s2.0-84880783926
dc.identifier.scopusqualityQ1
dc.identifier.startpageE366en_US
dc.identifier.urihttps://doi.org/10.1111/bju.12016
dc.identifier.urihttps://hdl.handle.net/11468/17504
dc.identifier.volume112en_US
dc.identifier.wosWOS:000327218200031
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofBju International
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectKidney Transplantationen_US
dc.subjectUrinary Tract Infectionen_US
dc.subjectVesico-Ureteric Refluxen_US
dc.subjectUreteric Reimplantationen_US
dc.subjectUreteroureterostomyen_US
dc.subjectPyeloureterostomyen_US
dc.titleSurgical correction of vesico-ureteric reflux for recurrent febrile urinary tract infections after kidney transplantationen_US
dc.titleSurgical correction of vesico-ureteric reflux for recurrent febrile urinary tract infections after kidney transplantation
dc.typeArticleen_US

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