Comparision of barry and barry-taguchi ureterovesical reimplantation techniques in kidney transplantations: a randomized clinical trial

Renal transplantation is the treatment of choice for chronic renal failure. Using a suitable uretero- vesical anastomosis technique can prevent most of risks for kidney graft. Extravesical ureteroneocystos- tomy is becoming popular in renal transplantation because of the low complication rate and technical ease. The decreased complication rate is due to limited bladder dissection and the need for a shorter ureteral segment from the donor. In this study we assessed the effectiveness and complications of a new technique, Barry-Taguchi technique and compared it with Barry technique. We recorded all urological complications developed in the recipient's kidney between September 2004 and March 2007 [mean follow-up 12 months] after performing extravesical Barry-Taguchi [new tech- nique] and Barry ureteroneocystostomy. The urological complications studied included complicated hema- turia, urinary fistula, and ureteral stenosis. A total 100 patients who underwent Barry-Taguchi technique and 98 patients who underwent Barry technique were studied. The incidence of urological complications in Barry-Taguchi and Barry re-implan- tation technique was 4% [n=4] and 5% [n=5%], respectively. These complications included 1 urinary leak- age and 3 ureteral obstructions for Barry-Taguchi technique, and 4 obstructions and 1 leakage from Barry group. In both trial groups, no complicated hematuria has occurred. In addition, the recorded time taken for ureteral anastomosis ranged from 4 to 16 [mean 8.3] min for Barry-Taguchi technique and 5 to 20 [mean 9.9] min in Barry technique. The Barry-Taguchi extravesical ureteroneocystostomy technique is a rapid and rather simple tech- nique. Without increasing the incidence of urological complication rate, it is a reliable method for perform- ing ureteroneocystostomy

Comparison of urological complications of Barry's and modified light's techniques of extravesical ureteroneocystostomy in renal transplant patients in urumieh

Between April 5, 1988 and Sept. 3, 1992, 204 cases of kidney transplantation were performed using modified Licht's implantation technique and from Sept. 4, 1992 to Sept. 3,1993,57 cases were done with Barry's method. Age ranged from 11 to 60 years and in both groups had nearly similar distribution. Kidneys were provided from live donors. Immunosuppressive therapy was similar in all patients and included cyclosporin A, azathioprine and corticosteroids. After transplantation, all patients were followed and meticulous attention was paid to determining the occurrence of possible urologic complications. Sonography, I.V.U. and/or radioisotope scanning was performed as indicated. In this study, 15 patients [7%] in the Licht group and one patient [2%] in the Barry group developed urological complications