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[Results of antireflux-surgery in children according to Leadbetter-Politano]
Insights
The Leadbetter-Politano antireflux operation is highly effective for children with urinary tract infections, with a 98.75% success rate. This surgical intervention for vesicoureteral reflux shows low complication and recurrence rates.
Area of Science:
- Pediatric Urology
- Surgical Techniques
- Nephrology
Context:
- Retrospective analysis of 80 children undergoing antireflux surgery.
- Evaluation of the Leadbetter-Politano method for vesicoureteral reflux (VUR).
Purpose:
- To assess the indications and outcomes of the Leadbetter-Politano antireflux operation in children.
- To determine the efficacy and complication rates of the surgical intervention.
Summary:
- Indications for surgery included patient age, reflux grade, and cystoscopic findings.
- The Leadbetter-Politano operation achieved a 98.75% success rate (79/80 children).
- Postoperative complications and recurrence of urinary tract infections (7.5%) were low and comparable to literature.
Impact:
- Demonstrates the Leadbetter-Politano procedure as a safe and effective treatment for pediatric VUR.
- Provides evidence supporting surgical intervention for specific indications in managing recurrent UTIs in children.
Abstract:
The indications for operation and results of antireflux-operation according to Leadbetter-Politano method are discussed in a retrospective evaluation of 80 children. Age of child, grade of reflux, cystoscopic findings of ureteral orifices and therapeutic success in treatment of urinary tract infection are the main criteria for the indication to surgical intervention. The operation was successful in 79 out of 80 children. Three of them needed a corrective operation. The number of postoperative complications was in accordance with results in the literature. The incidence of postoperative recurrence of urinary tract infection in 7.5% was relatively low.