Introduction: The routine use of ureteral stents during renal transplantation remains controversial despite recent evidence that universal stenting decreases ureteric complications. Further, assurance of timely removal of ureteral stents remains a logistical challenge. In 2004, our transplant program instituted universal stent placement and implemented a quality assurance program to ensure stent removal.

Methods: Our existing database for outcomes assessment was adapted to include compliance in documenting stent removal. A transplant nurse coordinator scheduled and documented stent removal. Quarterly chart review was implemented to confirm that all stents were accounted for at 90 days of transplant. For the purpose of this study, urinary tract complications were retrospectively determined including urine leak, ureteral stricture, and delayed stent removal.

Results: Ninety-eight renal transplants were done over a 44-month period. Stents were placed during 94 of 98 transplants. One-year graft survival was 95%. Urine leaks were identified in three patients (3%); one was not stented at the time of transplant. One ureteral stricture was diagnosed after stent removal. Two patients had delayed stent removal recognized only by chart review.

Conclusions: Universal stent placement during renal transplantation was safe when absolute compliance with removal was assured. Further, with universal stenting, ureteric complications were low.

CITATION INFORMATION: Yeast C, Riley J, Ashbaugh C, Ross G, Wakefield M. Universal Stenting of Renal Transplants Associated with a Low Complication Rate When Quality Assurance Program Ensures Stent Removal. Am J Transplant. 2016;16 (suppl 3).

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