Vesicoscopic cross-trigonal ureteral reimplantation: High success rate for elimination of primary reflux

Journal of Pediatric Urology
V R Jayanthi

Abstract

Open ureteral reimplantation (UR) is the gold standard for the surgical management of vesicoureteral reflux (VUR). There have been increasing reports on robot-assisted UR, but this approach remains controversial due to reports suggesting increased complications and reduced success compared with open repair. This study presented extensive experience with vesicoscopic ureteral reimplantation (VR) for primary reflux. In this procedure, cross-trigonal reimplantation was performed in a manner analogous to open repair under carbon dioxide 'pneumovesicum'. To review outcomes of vesicoscopic cross-trigonal ureteral reimplantation and compare them with other minimally invasive approaches for the correction of reflux. All patients who underwent VR at the current institution were retrospectively reviewed. The following were recorded for each patient: age, sex, grade of reflux, operative time, outcome, and complications. The series consisted of 182 consecutive patients who underwent VR. There were 165 girls and 17 boys. Mean age was 7.03 years (range 16 months-38.2 years). Fifteen had failed prior injection therapy. Of the 182 patients, 135 underwent bilateral repairs and 47 unilateral. Mean operative time for bilateral repairs was 197 (11...Continue Reading

Citations

Mar 3, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Beytullah Yağız, Özlem Balcı
Jan 22, 2020·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Molly E Fuchs, Daniel G DaJusta
Aug 29, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Ravi P KanojiaMonika Bawa
Aug 28, 2021·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Sachit AnandMohan Terdal

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