Comparison of barry and barry-taguchi ureterovesical reimplantation techniques in kidney transplantations: a randomized clinical trial.
Mohammadi Fallah M R, Taghizadeh Afshari A.International Journal of Organ Transplantation Medicine 2014; 1(2): 77-83.
Aims
To investigate and compare the Barry and Barry-Taguchi techniques in kidney transplant recipients.
Interventions
Patients underwent the Barry-Taguchi or Barry extravesical ureteroneocystostomy technique. In the Barry-Taguchi group the ureter was sutured using stitches from the apex and laterals of the spatulated segment ureter to the bladder mucosa and one U-shaped suture to the wall of the bladder. In the Barry extravesical ureteroneocystostomy group, one suture was used for re-implantation of the ureter.
Participants
198 adult kidney recipients.
Outcomes
The outcomes included urological complications such as increasing serum creatinine or clinical signs of urinoma and obstruction, urine leakage through wound, hematuria and urinary tract infection.
Follow-up
1 year.
CET Conclusions
: In the grand scheme the surgical techniques compared in this study do not appear to differ greatly in how they are performed. The so-called “Barry-Taguchi†technique seems to be a modification of the Barry technique, by using a single suture to draw the ureter into, and attach it to, the bladder (with a sub-mucosal tunnel as in the Barry technique). On average just one minute of operating time was saved by using the Barry-Taguchi technique and this was not statistically tested by the authors. The ureteric complications presented were rare in both groups (4-5%) and therefore no statistical difference was identified given the relatively small size of the study. Ureteric stents were kept in place for two weeks post-operatively, which may have reduced complication rates. In summary the newer technique does not appear to be drastically worse than the Barry technique, but nor is it safer or quicker.
Data analysis
Per protocol analysis
Trial registration
Not reported.