Lich-gregoir procedure in treatment of the vesicoureteral reflux

D Nourizadeh1, A Houshagi1, M Goldust2

  • 1Department of Urology, Tabriz University of Medical Sciences, Tabriz, Iran.

Insights

The Lich-Gregoir procedure is a highly effective surgical treatment for childhood vesicoureteral reflux (VUR). This study shows a 100% success rate with minimal complications, making it an excellent option for VUR management.

Area of Science:

  • Pediatric Urology
  • Surgical Innovation

Background:

  • Vesicoureteral reflux (VUR) affects 1% of children, necessitating effective treatments.
  • Surgical intervention is a common approach for managing pediatric VUR.

Purpose of the Study:

  • To evaluate the effectiveness and success rate of the Lich-Gregoir procedure for treating VUR in children.
  • To assess complication rates and post-operative outcomes associated with the Lich-Gregoir procedure.

Main Methods:

  • A descriptive-analytical study involving 32 children with 47 reflux units treated with the Lich-Gregoir anti-reflux procedure.
  • Data collection included surgery outcomes, success rates, sonographic findings, and complication rates during follow-up.

Main Results:

  • The Lich-Gregoir procedure demonstrated a 95.7% success rate within 6 months, reaching 100% by 8 months post-operation.
  • Post-operative resolution of hydronephrosis was observed in all patients.
  • Complications occurred in 6.25% of cases, including urinary retention and lymphocele, primarily in patients with bilateral reflux.

Conclusions:

  • The Lich-Gregoir anti-reflux procedure offers a high success rate and low complication profile for pediatric VUR.
  • This technique is an appropriate and effective treatment option for improving hydronephrosis and managing vesicoureteral reflux in children.

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