Purpose: The ureteric stent can be attached to the Foley catheter in kidney transplantation to exclude the cystoscopy for its removal. It is rarely practiced in renal transplantation. There has been no randomized trial to evaluate the outcome of this procedure on the major urologic complications.
Materials and Methods: One hundred sixty-three kidney transplant patients were randomized into an intervention group in which the stent attached to the Foley catheter and removed together and a control group in which stent removed by cystoscopy. In both groups, stents removed around the 8th post-op day.
Results: From March 2016 to June 2017, out of 234 kidney transplants performed in our center, a hundred Sixty-three (69.6%) patients met the study inclusion criteria. 91patients (55.8%) were allocated to the intervention group. Mean days before JJ removal for intervention and control groups (“per-protocol” group) were 8.08±1.52 and 8.57±1.58, respectively (P = .09). There was no difference between groups regarding major urologic complications (P=.679). Visual analog scale pain scores were significantly higher in the control group (p=.001). The procedure reduced USD 63-120 from the cost of operation in the intervention group.
Conclusion: In selected kidney transplant patients, attaching the Foley catheter to the stent and removing both of them early may be a safe maneuver regarding the major urological complications, reduces pain, and eliminates the cost of cystoscopy.
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