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

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...

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Main Authors: M.R. Mohamadi Fallah, Afshari A Taghizadeh, A H Sharafi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2011-01-01
Series:Saudi Journal of Kidney Diseases and Transplantation
Online Access:http://www.sjkdt.org/article.asp?issn=1319-2442;year=2011;volume=22;issue=6;spage=1121;epage=1127;aulast=Fallah
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spelling doaj-994421472cc74b5ca6a0aaea13feef4c2020-11-24T23:30:05ZengWolters Kluwer Medknow PublicationsSaudi Journal of Kidney Diseases and Transplantation1319-24422011-01-0122611211127Technical modifications of ureteroneocystostomy in renal transplantation: An 18-year experienceM.R. Mohamadi FallahAfshari A TaghizadehA H SharafiThe 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.http://www.sjkdt.org/article.asp?issn=1319-2442;year=2011;volume=22;issue=6;spage=1121;epage=1127;aulast=Fallah
collection DOAJ
language English
format Article
sources DOAJ
author M.R. Mohamadi Fallah
Afshari A Taghizadeh
A H Sharafi
spellingShingle M.R. Mohamadi Fallah
Afshari A Taghizadeh
A H Sharafi
Technical modifications of ureteroneocystostomy in renal transplantation: An 18-year experience
Saudi Journal of Kidney Diseases and Transplantation
author_facet M.R. Mohamadi Fallah
Afshari A Taghizadeh
A H Sharafi
author_sort M.R. Mohamadi Fallah
title Technical modifications of ureteroneocystostomy in renal transplantation: An 18-year experience
title_short Technical modifications of ureteroneocystostomy in renal transplantation: An 18-year experience
title_full Technical modifications of ureteroneocystostomy in renal transplantation: An 18-year experience
title_fullStr Technical modifications of ureteroneocystostomy in renal transplantation: An 18-year experience
title_full_unstemmed Technical modifications of ureteroneocystostomy in renal transplantation: An 18-year experience
title_sort technical modifications of ureteroneocystostomy in renal transplantation: an 18-year experience
publisher Wolters Kluwer Medknow Publications
series Saudi Journal of Kidney Diseases and Transplantation
issn 1319-2442
publishDate 2011-01-01
description 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.
url http://www.sjkdt.org/article.asp?issn=1319-2442;year=2011;volume=22;issue=6;spage=1121;epage=1127;aulast=Fallah
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