Surgical Technique
An open or laparoscopic nephrectomy technique was applied for living
donors. An extravesical technique (Lich-Gregoir) was applied to all
transplanted patients for ureteroneocystostomy (UNS). Types of DJS used
were dependent on the choice of surgeons. Cases were grouped later by
whether their DJS had an anti-reflux mechanism or not (St-DJS vs
ARD-DJS). Surgical drains were placed to all patients to the operation
side. Urinary catheters were removed on the 5th postoperative day.
Surgical drains were removed if there were no urinary leak and after
urinary catheters were removed. All DJSs were removed by cystoscopy
under local anesthesia at the 4th postoperative week. Urinary
complication was described as the presence of urinary leak and stenosis
at UNS.