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Voiding dysfunction after bilateral extravesical ureteral reimplantation

B A Lipski1, M E Mitchell, M W Burns

  • 1Children's Hospital and Medical Center, Seattle, Washington, USA.

The Journal of Urology
|February 25, 1998
PubMed
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Bilateral extravesical ureteral reimplantation effectively treats reflux but can cause temporary urinary retention in children. Minimizing surgical dissection did not significantly alter voiding dysfunction or success rates.

Area of Science:

  • Pediatric Urology
  • Surgical Innovation
  • Voiding Dysfunction

Background:

  • Bilateral extravesical ureteral reimplantation is a common surgical technique for vesicoureteral reflux.
  • Postoperative voiding dysfunction, including urinary retention, has been reported following this procedure.

Purpose of the Study:

  • To evaluate the incidence and duration of voiding dysfunction after bilateral extravesical ureteral reimplantation.
  • To assess the impact of minimizing detrusor dissection on postoperative outcomes.

Main Methods:

  • Retrospective review of 33 children undergoing bilateral extravesical ureteral reimplantation.
  • Comparison of standard ureteroneocystostomy with a modified technique minimizing detrusor dissection.
  • Analysis of voiding parameters, catheterization duration, and surgical success.

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Main Results:

  • Most children experienced transient urinary retention, with average voiding recovery around 5.9 days and catheter removal around 7.4 days.
  • Surgical success rate for reflux cure was 97%, with no significant obstruction.
  • No significant difference in voiding dysfunction or success was observed between standard and minimized dissection groups.

Conclusions:

  • Extravesical ureteral reimplantation is effective for reflux repair without causing obstruction.
  • Transient postoperative urinary retention is a common complication, even with minimized surgical dissection.