Surgical Techniques Development, Volume 14, Issue 3
2025 September - 15 articles
Cover Story: This study represents the largest worldwide cohort of kidney transplants with double ureters, demonstrating that the pantaloon ureteroneocystostomy technique achieves excellent outcomes. Among 26 double ureter grafts matched 1:1 with controls, urologic complication rates were remarkably low (3.8% vs. 7.7%, p = 1.000), significantly better than the 15.4% reported in recent literature. With 96% 5-year graft survival and no late strictures, this standardized surgical approach expands donor criteria while maintaining superior outcomes. The technique preserves shared ureteral blood supply through a single anastomosis, simplifying the procedure particularly beneficial for recipients with contracted bladders. These findings support global adoption of the pantaloon technique to address organ shortage without compromising recipient safety. View this paper - Issues are regarded as officially published after their release is announced to the table of contents alert mailing list .
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