EFFECTIVENESS OF URETERAL STENTS WITH NANOSTRUCTURED COATING IN RENAL TRANSPLANTATION (PRELIMINARY RESULTS)


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Abstract

From a surgeon's perspective, intraureteral jj-stent is an optimal tool to ensure upper urinary tract drainage. This paper presents preliminary results of our study investigating the use of ureteral stents with nanostructured coating in renal transplant recipients. The use of nanostructured coating based on amorphous carbon and silver nanocrystallites eliminated bacteriuria by week 4 after stenting in the treatment group with significant decrease of urine sediments while in the control group bacteriuria was found in 83,3% cases. Symptoms of bladder irritability depended on stent construction rather than presence of coating.

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About the authors

M. I. Kogan

Rostov State Medical University

Rostov-on-Don

Ja. G. Moisyuk

Academician V.I. Shumakov Federal Research Center of Transplantology and Artificial Organs

S. V. Shkodkin

Belgorod Regional Clinical Hospital of St. Ioasafa; Belgorod State University

Email: shkodkin-s@maiI.ru
Ph.D., Associate Professor Dept. of Hospital Surgery Belgorod

D. A. Saidulaev

Academician V.I. Shumakov Federal Research Center of Transplantology and Artificial Organs

Yu. B. Idashkin

Belgorod Regional Clinical Hospital of St. Ioasafa

Belgorod

References

  1. Gabr A.H., Sung R.S., Samaniego-Picota M.D., He C., Wolf J.S.Jr. Ureteral complications after hand-assisted laparoscopic living donor nephrectomy. J. Transplantation. 2014;97(7):788-792.
  2. Wilson C.H., Rix D.A., Manas D.M. Routine intraoperative ureteric stenting for kidney transplant recipients. Cochrane Database Syst Rev. 2013;6:CD004925.
  3. Шкодкин С.В., Коган М.И., Идашкин Ю.Б. Кобякова Ю.Н., Ничикова Л.Н. Сравнительный анализ эффективности испльзования полиуретанового и наноструктурного стентов при дренировании верхних мочевых путей в эксперименте. Вестн. трансплантологии и искусств. органов. 2012; 14(4):65-73.
  4. Nie Z.L., Li Q.S., Jin F.S., Zhang K.Q., Zhu F.Q., Huo W.Q., Ma Q. Urological complications in 1223 kidney transplants. Zhonghua Yi Xue Za Zhi. 2009;89(18):1269-1271.
  5. Praz V., Leisinger H.J., Pascual M., Jichlinski P. Urological complications in renal transplantation from cadaveric donor grafts: a retrospective analysis of 20 years. Urol. Int. 2005;75(2):144-149.
  6. Ватазин А.В., Зулькарнаев А.Б., Крстич М. Септические бактериальные осложнения после трансплантации почки. Академический журнал Западной Сибири. 2012;1:17-17a.
  7. Павлов А.Ю., Салихар Ш.И., Поляков Н.В., Маслов С.А. Выбор метода временного дренирования верхних мочевых путей при реконструктивно-пластических операциях на пузырномочеточниковом сегменте у детей. Урология. 2008;6:66-70.
  8. Шкодкин С.В., Коган М.И., Идашкин Ю.Б., Любушкин А.В., Мирошниченко О.В. Оценка эффективности различных способов дренирования почки. Мед. вестн. Башкортостана. 2013;8(2):82-85.
  9. Bonkat G., Rieken M., Siegel F.P., Frei R., Steiger J., Groschl I., Gasser T.C., Dell-Kuster S., Rosenthal R., Ghrke L., Wyler S., Bachmann A., Widmer A.F. Microbial ureteral stent colonization in renal transplant recipients: frequency and influence on the shorttime functional outcome. Transpl. Infect. Dis. 2012;14(1):57-63.
  10. Мартов А.Г., Ергаков Д.В., Корниенко С.И., Асфандияров Ф.Р., Калашников Е.С. Улучшение качества жизни пациентов с внутренними стентами путем изменения их формы. Урология. 2011;2:7-13.
  11. Комяков Б.К., Гулиев Б.Г. Хирургия протяженных сужений мочеточников. СПб.: Диалект, 2005. 256 с.
  12. Mendez-Probst C.E., Goneau L.W., MacDonald K.W., Nott L., Seney S., Elwood C.N., Lange D., Chew B.H., Denstedt J.D., Cadieux P.A. The use of triclosan eluting stents effectively reduces ureteral stent symptoms: a prospective randomized trial. BJU Int. 2012;110(5):749-754.
  13. Rahman M.A., Alam M.M., Shamsuzzaman S.M., Haque M.E. Evaluation of bacterial colonization and bacteriuria secondary to internal ureteral stent. Mymensingh Med. J. 2010;19(3):366-371.
  14. Cirioni O., Ghiselli R., Silvestri C., Minardi D., Gabrielli E., Orlando F., Rimini M., Brescini L., Muzzonigro G., Guerrieri M., Giacometti A. Effect of the combination of clarithromycin and amikacin on Pseudomonas aeruginosa biofilm in an animal model of ureteral stent infection. J. Antimicrob Chemother. 2011 ;66(6): 1318-1323.
  15. Rajendran E.R., Sreekumar V.S., Sudhakar A., Sreekumar J.S. Biodegradable tocopherol acetate as a drug carrier to prevent ureteral stent-associated infection. Pak. J. Biol. Sci. 2011;14(5): 336-343.
  16. Minardi D., Cirioni O., Ghiselli R., Silvestri C., Mocchegiani F., Gabrielli E., d’Anzeo G., Conti A., Orlando F., Rimini M., Brescini L., Guerrieri M., Giacometti A., Muzzonigro G. Efficacy of tigecycline and rifampin alone and in combination against Enterococcus faecalis biofilm infection in a rat model of ureteral stent. J. Surg. Res. 2012;176(1):1-6.
  17. Achal V., Pan X. Characterization of urease and carbonic anhydrase producing bacteria and their role in calcite precipitation. Curr. Microbiol. 2011;62(3):894-902.
  18. Чепуров А.К., Зенков С.С., Мамаев И.Э., Пронкин Е.А. Длительное дренирование мочеточниковыми стентами: современное состояние вопроса и перспективы. Андрология и генитальная хирургия. 2009;б/н:32-40.
  19. El-Feky M.A,. El-Rehewy M.S., Hassan M.A., Abolella H.A., Abd El-Baky R.M., Gad G.F. Effect of ciprofloxacin and N-acetylcysteine on bacterial adherence and biofilm formation on ureteral stent surfaces. Pol. J. Microbiol. 2009;58(3):261-267.

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