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Transvesicoscopic cross-trigonal ureteroneocystostomy in children: a single-center experience

Haluk Emir1, Emil Mammadov, Mehmet Elicevik

  • 1Division of Pediatric Urology, Department of Pediatric Surgery, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey. hemir@istanbul.edu.tr

Journal of Pediatric Urology
|November 19, 2010
PubMed

Insights

Transvesicoscopic ureteric reimplantation is a safe and effective procedure for children with vesicoureteric reflux (VUR). This minimally invasive technique shows a high success rate, making it a viable surgical option.

Area of Science:

  • Pediatric Urology
  • Minimally Invasive Surgery
  • Urologic Oncology

Background:

  • Vesicoureteric reflux (VUR) is a common condition in children that can lead to kidney infections and damage.
  • Traditional open ureteric reimplantation can be associated with significant morbidity.
  • Transvesicoscopic approaches offer a less invasive alternative for managing VUR.

Purpose of the Study:

  • To evaluate the safety and efficacy of transvesicoscopic ureteric reimplantation in pediatric patients.
  • To assess the outcomes of the transvesicoscopic 'Cohen' ureteroneocystostomy technique.

Main Methods:

  • Retrospective analysis of 17 ureteric units in 11 pediatric patients undergoing transvesicoscopic ureteroneocystostomy between 2003-2007.
  • Patients included those with VUR and one with paraostial diverticula.
  • Procedures included 6 bilateral and 5 unilateral reimplantations.

Main Results:

  • The procedure was successfully completed in all patients with a 91% success rate (94% of ureters).
  • Mean operative time was 217 minutes (unilateral) and 306 minutes (bilateral).
  • Minor complications included pneumoperitoneum (2 cases) and transient hematuria (2 cases); one patient required longer hospitalization for UTI.

Conclusions:

  • Transvesicoscopic cross-trigonal ureteroneocystostomy is a safe procedure in children.
  • The technique demonstrates a high success rate for treating VUR and related conditions.
Abstract

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