Outcome of Kidney Transplant With Double Ureter: A Multicenter Study

Objectives: Renal transplant with double ureters is uncommon. However, with increasing numbers of en bloc and dual transplants from marginal donors, we frequently observe 2 ureters for implant. The current study reviewed our experience with 76 double-ureter renal transplants. Materials and Methods: We performed a retrospective analysis of renal transplant performed in 2 institutes from 1996 to 2011. We recorded the outcomes of renal transplants with double ureters including complications. We compared outcomes with renal transplants with single ureters. Results: Irrespective of the technique used for implant, we recorded no significant risk of complications of double- compared with single-ureter renal transplants. There were no significant differences in patient and graft survival. Conclusions: We believe that double-ureter transplant does not require additional risk discussion with the recipient because it is safe. However, when ureteral stents are used, we should ensure that a mechanism is in place for both stents to be removed postoperatively.