Urological complications in kidney transplant recipients.
Conditions
Interventions
Participants who are randomized to external stenting (control group, current standard care in our center) will receive an externalised 7 French ureteric stent. Participants who are randomized to doub
Sponsors
Erasmus MC, University Medical Center Rotterdam, Dept. of Surgery, Group of Hepatopancreatobiliary and Transplant Surgery
Eligibility
Inclusion criteria
Inclusion criteria: All adult kidney transplant recipients in the Erasmus University Medical Center (>18yrs) are invited to participate
Exclusion criteria
Exclusion criteria: 1. Patients with a reconstructed urinary tract or conduit after total or partial cystectomy. 2. Patients with bladder dysfunction that requires continuous or intermittent catheterization. 3. Patients who do not understand the Dutch language sufficiently to sign the informed consent forms and to fill in the questionnaires 4. Donor kidneys with more than one ureter 5. Patients with primary FSGS and residual urine production. Because FSGS is known for its quick recurrence in the kidney graft and the first sign is proteinuria. With an externalized stent we are able to distinguish between proteinuria of the transplant kidney and the native kidneys.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess whether Double J stenting is superior to externalized single J stenting in preventing urological complications after kidney transplantation. | — |
Secondary
| Measure | Time frame |
|---|---|
| To assess which kind of stent is superior in reducing the total amount of urological complications, radiological interventions, surgical interventions, haematuria, and urinary tract infections. Stent obstructions or dysfunctions will be scored. Additionally, a quality of life and cost effectiveness analysis will be performed with questionnaires. Validated questionnaires for pain, quality of life, health state, work efforts and disabilities in daily life are measured by VAS, Euro-Qol, SF-36 and ‘Werk en Zorg’. All questionnaires will be filled in pre-operatively and post-operatively at different time points. | — |
Contacts
Public ContactT. Terkivatan
PO Box 2040
Outcome results
None listed