Saudi Journal of Kidney Diseases and Transplantation

ORIGINAL ARTICLE
Year
: 2011  |  Volume : 22  |  Issue : 6  |  Page : 1121--1127

Technical modifications of ureteroneocystostomy in renal transplantation: An 18-year experience


M.R. Mohamadi Fallah, Afshari A Taghizadeh, AH Sharafi 
 Department of Urology, Emam Khomeini Hospital, Nephro-urology Research Center, Urmia Medical Sciences University, Urmia, Iran

Correspondence Address:
A H Sharafi
Department of Urology, Emam Khomeini Hospital, Nephro-urology Research Center, Urmia Medical Sciences University, Urmia
Iran

The treatment of choice for patients with end-stage renal disease is renal transplantation. Urinary tract reconstruction is usually done by anti-reflux ureteroneocystostomy, of which there are several techniques. In this study, a comparison of previous studies related to complications and outcome of various extra-vesical uereteroneocystostomy techniques that were used in our center was made. From the year 1988, when renal transplantation was first performed in our center, we utilized many ureteroneocystostomy techniques including Lich-Grigoir, Barry, Tagochi, and finally Barry-Tagochi. With each conversion, we compared the results of the earlier technique with the new one. In addition, we collected the results of four previous studies conducted by our surgeons and analyzed the complications seen with ureteroneocystostomy. A total of 717 renal transplant recipients were included in our study; 214 of these patients were reimplanted by the Barry-Tagochi technique, 155 cases by the Barry technique, 44 cases by the Tagochi technique, and finally, 304 cases by the Lich-Grigor technique. There was no significant difference in the overall complications, urinary leakage and ureteral stenosis, and obstruction between the four groups. However, complicated hematuria was significantly more frequently seen in the Tagochi group (P = 0.002). Also, the mean time taken for ureteroneocystostomy was longer in the Lich-Grigor group (P = 0.001). We found that the Barry-Tagochi technique had an overall incidence of urological complications similar to that of the other extravesical techniques and was less time consuming.


How to cite this article:
Fallah MM, Taghizadeh AA, Sharafi A H. Technical modifications of ureteroneocystostomy in renal transplantation: An 18-year experience.Saudi J Kidney Dis Transpl 2011;22:1121-1127


How to cite this URL:
Fallah MM, Taghizadeh AA, Sharafi A H. Technical modifications of ureteroneocystostomy in renal transplantation: An 18-year experience. Saudi J Kidney Dis Transpl [serial online] 2011 [cited 2021 Jun 24 ];22:1121-1127
Available from: https://www.sjkdt.org/article.asp?issn=1319-2442;year=2011;volume=22;issue=6;spage=1121;epage=1127;aulast=Fallah;type=0