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Updated: Jan 20, 2026
05:19
Surgical Models of Gastroesophageal Reflux with Mice
Published on: August 25, 2015
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[Bilateral vesicoureteral reflux: pro intravesical techniques].
Jennifer Kranz1,2, Joachim Steffens1
1St-Antonius-Hospital gGmbH, Klinik für Urologie und Kinderurologie, Eschweiler.
Aktuelle Urologie
|August 22, 2019
Summary
Antireflux surgery techniques achieve over 90% success by creating a submucosal tunnel. Both extravesical and intravesical methods offer high success rates, outperforming endoscopic injections.
Area of Science:
- Urology
- Surgical Techniques
- Pediatric Surgery
Background:
- Antireflux surgery aims to prevent urine reflux from the bladder back into the ureters.
- Various surgical approaches exist, each with specific indications and success rates.
Purpose of the Study:
- To review and compare the efficacy of different surgical techniques for treating vesicoureteral reflux.
- To highlight the common principle of submucosal tunnel formation in successful antireflux procedures.
Main Methods:
- Review of established open, laparoscopic, and robotic antireflux surgical procedures.
- Comparison of extravesical (Lich-Gregoir, psoas hitch) and intravesical (Politano-Leadbetter, Cohen) techniques.
- Evaluation of success rates based on ureter dilation status.
Main Results:
- All discussed surgical techniques demonstrate high success rates exceeding 90%.
- Extravesical techniques (Lich-Gregoir, psoas hitch) are effective for non-dilated and dilated ureters, respectively.
- Intravesical techniques (Politano-Leadbetter, Cohen) also show high success rates.
Conclusions:
- Surgical management of vesicoureteral reflux is highly effective, with success rates over 90% across multiple techniques.
- Standard open or minimally invasive antireflux surgeries are more successful than endoscopic subureteric injection.
- The creation of an adequate submucosal tunnel is a key factor in the success of antireflux surgery.
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