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Ex vivo ureteroscopic treatment of calculi in donor kidneys at renal transplantation

Publication ,  Journal Article
Rashid, MG; Konnak, JW; Wolf, JS; Punch, JD; Magee, JC; Juan, DA; Faerber, GJ
Published in: Journal of Urology
January 1, 2004

Purpose: We evaluated the safety and efficacy of ex vivo ureteroscopy (ExURS) as a means of rendering the donated kidney stone-free at live donor renal transplantation. Materials and Methods: A total of 10 suitable kidney donors with small, unilateral nonobstructive calculi underwent live donor nephrectomy (8 open flank, 2 hand assisted transperitoneal). Immediately after cold perfusion, ExURS was performed in an iced saline solution. Access to the collecting system was via the ureteral stump. Calculi were either removed with endoscopic baskets and/or completely fragmented with Holmium laser lithotripsy. Results: Access to the renal collecting system was technically successful in all cases. A total of 10 stones, ranging in largest diameter from 1 to 8 mm (average 5.2) were visualized. Of the kidneys 6 had solitary stones, 2 had 2 stones and 1 had no stone. Of 10 stones 9 were successfully removed and/or fragmented with an average procedure time of 6.5 minutes (range 3 to 28). Indwelling ureteral stents were placed at transplantation in 5 of 10 kidneys. There were no intra-operative or postoperative ureteral complications. At 1 month after transplant serum creatinine ranged from 0.9 to 2.7 mg/dl (average 1.5). At a mean followup of 33.2 months new stones have not formed in any recipients and at mean 36.4-month followup no new calculi have formed in the remaining kidney of any donors. Conclusions: ExURS is a technically feasible means of rendering a stone bearing kidney stone-free without compromising ureteral integrity or renal allograft function.

Duke Scholars

Published In

Journal of Urology

DOI

ISSN

0022-5347

Publication Date

January 1, 2004

Volume

171

Issue

1

Start / End Page

58 / 60

Related Subject Headings

  • Urology & Nephrology
  • 3202 Clinical sciences
  • 1103 Clinical Sciences
 

Citation

APA
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ICMJE
MLA
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Rashid, M. G., Konnak, J. W., Wolf, J. S., Punch, J. D., Magee, J. C., Juan, D. A., & Faerber, G. J. (2004). Ex vivo ureteroscopic treatment of calculi in donor kidneys at renal transplantation. Journal of Urology, 171(1), 58–60. https://doi.org/10.1097/01.ju.0000101757.69344.de
Rashid, M. G., J. W. Konnak, J. S. Wolf, J. D. Punch, J. C. Magee, D. A. Juan, and G. J. Faerber. “Ex vivo ureteroscopic treatment of calculi in donor kidneys at renal transplantation.” Journal of Urology 171, no. 1 (January 1, 2004): 58–60. https://doi.org/10.1097/01.ju.0000101757.69344.de.
Rashid MG, Konnak JW, Wolf JS, Punch JD, Magee JC, Juan DA, et al. Ex vivo ureteroscopic treatment of calculi in donor kidneys at renal transplantation. Journal of Urology. 2004 Jan 1;171(1):58–60.
Rashid, M. G., et al. “Ex vivo ureteroscopic treatment of calculi in donor kidneys at renal transplantation.” Journal of Urology, vol. 171, no. 1, Jan. 2004, pp. 58–60. Scopus, doi:10.1097/01.ju.0000101757.69344.de.
Rashid MG, Konnak JW, Wolf JS, Punch JD, Magee JC, Juan DA, Faerber GJ. Ex vivo ureteroscopic treatment of calculi in donor kidneys at renal transplantation. Journal of Urology. 2004 Jan 1;171(1):58–60.
Journal cover image

Published In

Journal of Urology

DOI

ISSN

0022-5347

Publication Date

January 1, 2004

Volume

171

Issue

1

Start / End Page

58 / 60

Related Subject Headings

  • Urology & Nephrology
  • 3202 Clinical sciences
  • 1103 Clinical Sciences