Renal transplantation is the choice of treatment for chronic renal failure. Applying suitable ureterovesical anastomosis technique can prevent most of risks for kidney graft. Extravesical ureteroneocystostomy is becoming popular in renal transplantation because of the low complication rate and technical ease. This decrease in complication was due to limited bladder dissection and the need for a shorter ureteral segment from the donor. We evaluated and compared the incidence of urologic complications by using Barry and Barry-Taguchi ureteroneocystostomy in 198 cases of renal transplantation. We recorded all urological complications after performing extravesical randomly Barry-Taguchi (new technique) and Barry ureteroneocystostomy in the recipient kidney that developed from Sep. 2004 to Mar. 2007 (mean follow up 12 mouths). The urological complications included complicated hemturia, urinary fistula, ureteral stenosis, and VUR. The incidence of urological complications in Barry-Taguchi and Barry reimplantation technique were 4(4.0%), 5(5.1%) respectively. These complications included one urinary leakage and three ureteral obstruction from Barry- Taguchi group, and 4 obstruction and one leak from Barry group which these patients required reoperation. No occurred complicated hematuria and symptomatic VUR in our trial in both groups. Ranges of ureteral anastomosis time were recorded 4 - 16 minute (mean 8.26) in Barry- Taguchi and 5-20 (mean 9.9) in Barry. Mild to moderate reflux was noted in 2(4%) patients in random VCUG of 50 transplant patients in Barry- Taguchi group. These weren’t required treatment with endoscope or reoperation. In conclusion, Barry –Taguchi extravesical ureteroneocystostomy (new technique) proved to be a more rapid and simple method without increasing the incidence of urological complication. This technique with acceptable urologic complications is one of choice technique in our centre.
Volume : 6
Issue : 4
Pages : 21
Urmia Medical Sciences University, Urmia,Iran