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Laparoscopic vesicoureteroplasty in children: initial case reports
R M Ehrlich1, A Gershman, G Fuchs
1Department of Urology, UCLA Center for the Health Sciences.
Insights
Laparoscopic vesicoureteroplasty is a feasible surgical option for pediatric vesicoureteral reflux. This minimally invasive technique offers successful reflux correction with reduced pain and hospitalization.
Area of Science:
- Pediatric Urology
- Minimally Invasive Surgery
Background:
- Vesicoureteral reflux (VUR) is a common condition in children.
- Traditional open surgery for VUR can involve significant morbidity.
Observation:
- Two pediatric patients underwent laparoscopic vesicoureteroplasty for VUR.
- Operating times were 2 hours 15 minutes and 3 hours 15 minutes.
Findings:
- Successful correction of VUR was achieved in both patients.
- Patients experienced short hospitalization (23 hours), decreased pain, and improved cosmesis.
- No peri- or post-operative morbidity was observed.
Implications:
- Laparoscopic vesicoureteroplasty is a viable and effective minimally invasive approach for pediatric VUR.
- This technique shows promise for reducing patient recovery time and discomfort.
- Further research is warranted to establish this technique more broadly.
Objective:
To determine the feasibility of performing laparoscopic vesicoureteroplasty in children.
Methods:
Two pediatric patients, a two-year-old boy and a five-year-old girl, underwent laparoscopic vesicoureteroplasty for vesicoureteral reflux. Operating time was two hours fifteen minutes and three hours fifteen minutes, respectively.
Results:
The reflux was successfully corrected without morbidity, and they required only short hospitalization (23 hours) and exhibited decreased peri- and post-operative pain as well as improved cosmesis.
Conclusions:
These cases represent the first implementation of this technique in humans. We stress that this is a preliminary report and suggest that this technique deserves further study.