Modified Lich-Gregoir ureteral reimplantation: experience of a Canadian center

The Journal of Urology
S LapointeP Williot

Abstract

Various techniques of ureteral reimplantation have been described for correction of vesicoureteral reflux. We report our experience regarding the safety and efficacy of a modified Lich-Gregoir extravesical approach. From January 1991 to January 1996 we evaluated prospectively 256 patients who underwent a modified Lich-Gregoir procedure for correction of vesicoureteral reflux. A total of 385 vesicoureteral units were reimplanted, including 41 duplex systems. The modification to the Lich-Gregoir technique we used consists of ending the paraureteral myotomy with an inverted Y, which permits easier detrusor muscle reapproximation. This procedure was successful initially in 214 of 237 patients, as confirmed by a normal voiding cystourethrogram 4 to 6 months postoperatively. Of the 237 cases persistent vesicoureteral reflux developed in 13 patients, which resolved spontaneously in 9 after 1 year, contralateral reflux developed in 8, which was treated conservatively, and ureteral obstruction developed in 2. Thus, the 1-year overall success rate was 96%. Urinary retention developed in 12 children with bilateral reimplantation (8.3%) with successful recovery in all after conservative management with urethral catheter drainage of 1 week ...Continue Reading

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Citations

Oct 13, 2010·Der Urologe. Ausg. A·I Körner, J Steffens
Jun 15, 2007·International Urology and Nephrology·Ashraf Abou-ElelaRashsad Barsoum
Apr 23, 2002·BJU International·P D Anderson, P A Dewan
Jul 16, 2004·Journal of Endourology·Tung ShuRobert G Moore
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Aug 13, 2013·Journal of Pediatric Surgery·Kwang Hyun KimSang Won Han
Dec 20, 2011·The Journal of Urology·Yong Seung LeeSang Won Han
May 22, 2010·The Journal of Urology·Christopher WicherPatrick C Cartwright
Jan 28, 2017·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Michael YapMadhu Alagiri
Aug 25, 2000·The Journal of Urology·D BarrierasP A Merguerian
Oct 5, 2007·Neurourology and Urodynamics·Frederico MascarenhasNilo Leão

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