Endoscopic subureteral injection is not less expensive than outpatient open reimplantation for unilateral vesicoureteral reflux

The Journal of Urology
Kara SaperstonPatrick Cartwright

Abstract

Extravesical ureteral reimplantation and subureteral Deflux injection are used to correct vesicoureteral reflux with success rates of 94% to 99% and up to 89%, respectively. It was reported that unilateral extravesical reimplantation may be performed safely in an outpatient setting. Given that, we analyzed total system reimbursement to compare planned outpatient unilateral extravesical reimplantation to subureteral Deflux injection in patients with unilateral vesicoureteral reflux. Data were collected on consecutive patients undergoing outpatient procedures for unilateral vesicoureteral reflux. Assessment of total system reimbursement was made using a payer mix adjusted calculation of surgery plus anesthesia plus hospital reimbursement. This was compared per procedure and in terms of total system reimbursement for each approach to obtain a similar resolution rate. A total of 209 consecutive patients were identified, of whom 26 underwent subureteral Deflux injection and 183 underwent unilateral extravesical reimplantation. Mean operative time was 93 minutes for reimplantation and 45 minutes for injection. The mean volume of dextranomer-hyaluronic acid was 1.2 ml. Total initial system reimbursement per patient was $3,813 for reim...Continue Reading

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Oct 12, 2005·The Journal of Urology·Scott PutmanPatrick Cartwright

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Citations

Feb 9, 2010·Pediatric Surgery International·Mathew D SorensenThomas S Lendvay
Mar 30, 2012·The New England Journal of Medicine·David A Diamond, Tej K Mattoo
Apr 28, 2011·Journal of Minimal Access Surgery·Fernando Rivilla
May 22, 2010·The Journal of Urology·Christopher WicherPatrick C Cartwright
Apr 4, 2015·Journal of Pediatric Surgery·Arnaud Fotso KamdemMarie-Christine Woronoff-Lemsi
Jan 28, 2017·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Michael YapMadhu Alagiri
Jan 7, 2017·Urologia·Farzaneh SharifiaghdasBehzad Narouie
Mar 10, 2017·Arab Journal of Urology·Haytham E BadawySamir S Orabi
Apr 20, 2021·Frontiers in Pediatrics·Göran LäckgrenAndrew J Kirsch

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