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Updated: Aug 9, 2026
08:09
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
[Endoscopic trigonoplasty II for primary vesico-ureteral reflux]
Yoshikazu Tsuji1, Takashi Fujita, Toru Kimura
1Department of Urology, Chukyo Hospital.
Summary
Endoscopic trigonoplasty II (ET II) is an anti-reflux surgery with a success rate inferior to open or laparoscopic methods. Researchers do not recommend ET II for treating vesicoureteral reflux due to its lower efficacy.
Area of Science:
- Urology
- Surgical Techniques
Context:
- Vesicoureteral reflux (VUR) is a condition where urine flows backward from the bladder to the ureters.
- Traditional anti-reflux surgeries include open and laparoscopic ureteral reimplantation.
Purpose:
- To evaluate the technique and outcomes of endoscopic trigonoplasty II (ET II), a transvesicostomy transurethral anti-reflux surgery.
- To discuss the usefulness of ET II in treating vesicoureteral reflux.
Summary:
- Fifteen female patients underwent ET II for VUR, involving bladder wall incision and ureteral reimplantation through a transurethral approach.
- The surgery achieved an 86% reflux cessation rate at 12 months, but complications included ureteral injury and fistula formation.
- The overall efficacy was lower than established open or laparoscopic anti-reflux procedures.
Impact:
- Endoscopic trigonoplasty II (ET II) demonstrated a lower success rate compared to traditional open and laparoscopic anti-reflux surgeries.
- The study advises against using ET II for vesicoureteral reflux management.
- Complications associated with ET II highlight the need for caution and further research into minimally invasive VUR treatments.
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