The isolated ureter. A model for study of ureteral rejection

Terminal loop cutaneous ureterostomy: a method of urinary drainage in kidney transplantation

A non-functional and permanently damaged lower urinary tract is no longer a contraindication to kidney transplantation. In patients with this disorder the ureter commonly is drained by an intestinal conduit. We have used terminal loop cutaneous ureterostomy as a method of urinary drainage in 3 patients with cadaver kidney transplants who have been followed for up to 8 years. The technique of terminal loop cutaneous ureterostomy and a report of these cases are presented.

Terminal loop cutaneous ureterostomy: an experimental study and its clinical application

Terminal loop cutaneous ureterostomy is a technique to enhance the blood supply and, thereby, decrease the complication rate with stomas. An animal study and experience with 20 patients with long-term followup support this contention.

Cine-fluoroscopic studies of ureteral function in the human renal transplant

During a 14-month period 73 satisfactory fluoroscopic studies were done on 59 kidney transplant recipients. Ureteral peristalsis was seen in 90 per cent of these studies and there was no difference between patients receiving living related donor kidneys and those receiving cadaveric kidneys. When ureteral activity was studied during rejection episodes only 54 per cent of the studies showed activity. An effort was made to relate aperistaltic ureteral activity to renal function, warm ischemia time, urinary tract infection, number of rejection episodes and tissue matching but no positive correlation could be made except the concurrent clinical diagnosis of rejection.