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Extravesical ureteral reimplantation: results in 128 patients
K A Burbige1, M Miller, J P Connor
1J. Bently Squire Urologic Clinic, Columbia-Presbyterian Medical Center, New York, USA.
Insights
Extravesical ureteral reimplantation effectively treated vesicoureteral reflux in children. This reliable surgical technique showed excellent outcomes with minimal complications, comparable to traditional methods.
Area of Science:
- Pediatric Urology
- Surgical Innovation
Background:
- Vesicoureteral reflux (VUR) is a common condition in children.
- Traditional intravesical ureteral reimplantation has been the standard surgical approach.
Purpose of the Study:
- To evaluate the efficacy and outcomes of extravesical ureteral reimplantation in pediatric patients.
- To compare the results of the extravesical technique with established intravesical methods.
Main Methods:
- Retrospective review of 128 children (174 ureters) undergoing extravesical ureteral reimplantation.
- Analysis of patient records, focusing on diagnosis, surgical technique, and outcomes.
Main Results:
- The extravesical technique demonstrated a 100% success rate, with no instances of recurrent reflux or obstruction.
- Two complications were noted: postoperative urosepsis and transient urinary retention.
Conclusions:
- Extravesical ureteral reimplantation is a safe and effective procedure for pediatric VUR.
- The technique offers reliable and predictable results, serving as a viable alternative to intravesical approaches.
Purpose:
We evaluated the results of extravesical ureteral reimplantation in children.
Materials And Methods:
We reviewed the records of 128 children (174 ureters) who underwent ureteral reimplantation via extravesical techniques. Primary vesicoureteral reflux was the most common diagnosis (73 patients).
Results:
The extravesical technique produced a successful result in all patients (no reflux or obstruction). The 2 complications included postoperative urosepsis and transient urinary retention.
Conclusions:
Extravesical ureteral reimplantation is a reliable procedure with predictable results comparable to those of more traditional intravesical techniques.