Abstract & Overview
The use of prophylactic double-J ureteric (DJ) stent during renal transplantation is debatable.The authors who favor stenting claim the incidence of urological complications and morbidity were less.On the other hand, literature shows routine stenting is unnecessary as it adds to the cost and complications.With this background, we performed a prospective randomized controlled study in live related renal transplant recipients with and without a DJ stent to know whether it can be avoided.Seventy-six consenting patients for live related renal transplantation were recruited in this study between November 2014 to August 2015 at our centre.Patients were randomized in to two groups, group A with DJ-stent and group B without a stent based on computer randomization.These patients were evaluated in the immediate and at the end of 4, 12 & 24 weeks post operatively for urological complication.Urine culture, serum creatinine, ultrasound and Doppler examination of the graft were performed as per the protocol.DJ-stent was removed at the end of 4 weeks.Thirty six patients in group A with stent and 36 in group B without a stent were evaluated for urinary tract infection, urinary leak and ureteric obstruction postoperatively and found no statistical difference between the two groups.Four patients were excluded Routine use of DJ-stents may not be indicated during Kidney transplantation.Careful surgical technique with selective stenting of problematic anastomoses yields similar results.The incidence of UTI is comparable in both groups.