Evaluation of Anterior Extra Vesical Ureteroneocystostomy in Kidney Transplantation

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Abstract
The anterior extravesical ureteroneocystostomy technique was evaluated in 184 consecutive renal transplants done in 2 consecutive calendar yr. Complications included 5 cases of ureteral and 1 of pelvic necrosis, and 2 of ureteral obstruction with a ureteral complication rate of < 4%. All cases of pelvic or ureteral necrosis except 1 were seen in cadaver donor kidneys that were imported from other centers. No bladder complications were seen. Pelvioureteral obstruction, presumably of congenital origin in the cadaver donor, was discovered in the kidney after transplantation in 2 cases, and was corrected successfully by pyeloureterostomy to the native ureter. The extraordinary simplicity of this technique, coupled with improvement in the complication rate, makes it the procedure of choice.