Mini-ureteroneocystostomy: a safe and effective outpatient treatment for unilateral vesicoureteral reflux

The Journal of Urology
Richard Ashley, David Vandersteen

Abstract

Medically refractory vesicoureteral reflux is a common condition that can be cured by open surgery. Extravesical ureteroneocystostomy is a safe and effective surgical procedure. We determined whether this could be accomplished with limited dissection via an approximately 2 cm inguinal incision (mini-ureteroneocystostomy). All patients with unilateral vesicoureteral reflux who underwent mini-ureteroneocystostomy from 2003 to 2007 were evaluated. We present preoperative characteristics, surgical technique and outcomes in this analysis. From 2003 to 2007, 57 children underwent mini-ureteroneocystostomy for unilateral vesicoureteral reflux. The group was predominantly female (48 of 57 patients or 84%) with median age of 4.8 years. Median vesicoureteral reflux grade was 3 (range 2 to 5). Duplication anomalies were present in 8 patients, while 5 had a Hutch diverticulum and 5 had a solitary kidney. A total of 47 patients (82%) underwent postoperative voiding cystourethrogram and surgical cure was achieved in all. De novo vesicoureteral reflux was identified in the contralateral ureter in 3 of 47 patients (6%). The procedure was performed on an outpatient basis in 47 of 57 patients (82%). Postoperative complications requiring surgical...Continue Reading

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Citations

Dec 15, 2011·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Aaron P BayneLars J Cisek
Jan 24, 2012·European Urology·Jonathan C RouthDuncan T Wilcox
May 22, 2010·The Journal of Urology·Christopher WicherPatrick C Cartwright
Mar 20, 2009·Journal of Pediatric Urology·Josephine Hidalgo-TamolaMartin A Koyle
Sep 10, 2015·Medical History·Louis Caron

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