Low Rate of Urological Complications in Pediatric Kidney Transplantation Using a Stentless Ureteral…

Cohort studyPediatric transplantation· Aug 2026

Low Rate of Urological Complications in Pediatric Kidney Transplantation Using a Stentless Ureteral Anastomosis.

Gaetano Ciancio, Jeffrey J Gaynor, Mahmoud Morsi … Jayanthi Chandar

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Pediatric NephrologyCohort studyTreatmentQ2IF 1.5

Stentless ureteral technique linked to few urologic complications in pediatric kidney transplants

Low Rate of Urological Complications in Pediatric Kidney Transplantation Using a Stentless Ureteral Anastomosis.

Gaetano Ciancio … Jayanthi Chandar

Pediatric transplantation · Aug 2026 · Q2 in Pediatrics

Background

Pediatric kidney transplant recipients are susceptible to a range of complications that may compromise allograft function and are associated with significant morbidity.

Methods

Here, we reviewed 107 consecutive pediatric kidney transplant recipients transplanted at our center since 2014 who received no stent placement at the time of transplant.

n = 107 consecutive pediatric kidney

Results

3.7%

few urologic complications in the first year without routine stenting

n = 107 consecutive pediatric kidney

More results

Ureteral obstruction/stricture was observed in 2.8% (3/107), with two being due to UPJ obstruction, and one being due to the occurrence of multiple kidney stones that occluded the distal ureter/ureterovesical junction (ureterovesical junction).

No urinary leaks, 0.0% (0/107), were observed during the first 12 months post-transplant.

More results

Additionally, poor bladder compliance along with Grade 4 vesicoureteral reflux occurred in one patient.

One patient (who developed a UPJ obstruction) was successfully managed with interventional radiology alone.

“

Conclusion

In pediatric kidney transplantation, our extravesical ureteroneocystostomy technique without routine ureteral stent placement was associated with a low incidence of post-transplant urological complications.

Low Rate of Urological Complications in Pediatric Kidney Transplantation Using a Stentless Ureteral Anastomosis.

Low Rate of Urological Complications in Pediatric Kidney Transplantation Using a Stentless Ureteral Anastomosis.

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