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Updated: May 3, 2026

Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
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.
Abstract:
Vesicoureteral reflux is a major problem in childhood affecting 1% of all children. There are various surgical methods for vesicoureteral reflux treatment. Current study evaluates effectiveness and success rate of the Lich-gregoir procedure in treatment of the vesicoureteral reflux. In a descriptive-analytical study, 32 children with 47 reflux unit underwent Lich-gregoir anti-reflux procedure in Imam Reza and Amir-al-Momenin Hospitals, Tabriz between March 2008 and August 2011. Surgery outcome and success rate, sonographic findings and complications rate were recorded in follow-up. Patients mean age was 5.85 +/- 3.81 years. 28.1% were male and 71.9% were female. Reflux was unilateral in 53.1% and bilateral in 46.9%. Vesicoureteral reflux grade I to V was in one, 1, 13, 22 and ten patients, respectively. Voiding Cystourethrogram (VCUG) findings were abnormal in all cases before operation. Surgery success rate in first 6 months was 95.7% and was 100% in 8 months after operation. Hydronephrosis disappeared after operation in all cases. Complication occurred in 2 cases (6.25%) with bilateral reflux including urinary intention and lymphocele. Lich-gregoir anti-reflux procedure technique is accompanied with higher success rate, low complication and hydronephrosis improvement and is an appropriate treatment for vesicoureteral reflux in children.
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