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- Title
Double J Removal with Rigid Cystoscopy using Intra-Urethral Lidocaine or Lubricant Jelly after Kidney Transplantation is Safe and Feasible: RCT Study.
- Authors
Tavakkoli, M.; Mahdavi, R.; Taghavi, S. R.; Asadpour, A. A.; Jarrahi, L.; Ghandehari, M.; Baghshani, F.; Khaleghi, E.
- Abstract
Background: Kidney transplantation (KTx) is the best treatment option for most end-stage renal disease (ESRD) patients. Double J (DJ) stents are used during KTx surgery for ureteral re-implantation by many surgeons. These stents are usually removed 4 to 6 weeks after the operation. Double J removal is done with flexible cystoscopy applying topical anesthesia, or rigid cystoscopy under general anesthesia (GA). However DJ removal in male population after KTx has some difficulties including urethral length and high position of re-implanted ureter that make the procedure more difficult and painful. On the other hand flexible cystoscopy is more expensive and is not available in many centers. Objective: We conducted this randomized controlled clinical trial (RCT) to assess the safety and feasibility of DJ removal with rigid cystoscopy using topical anesthesia in male patients after KTx. Methods: This RCT was performed from March 2012 to December 2014. We compared pain and complications in 3 treatment arms, i.e., GA group, lidocaine group, and lubricating jelly group. Results: The mean pain score was similar in the 3 studied groups (p=0.8). No significant differences in frequency of complications was observed among the studied groups (p=0.93). Conclusion: Double J removal with rigid cystoscopy and topical anesthesia in male patients after KTx is safe and feasible with lower cost and less morbidity.
- Subjects
CYSTOSCOPY; LIDOCAINE
- Publication
International Journal of Organ Transplantation Medicine, 2016, Vol 7, Issue 2, p138
- ISSN
2008-6490
- Publication type
Abstract