Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Voiding dysfunction after bilateral extravesical detrusorrhaphy

E Minevich1, D Aronoff, J Wacksman

  • 1Division of Pediatric Urology, Children's Hospital Medical Center, University of Cincinnati, Ohio, USA.

The Journal of Urology
|August 27, 1998
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Impact of body mass index on 30-day postoperative morbidity in pediatric and adolescent patients undergoing continent urinary tract reconstruction.

Journal of pediatric urology·2019
Same author

Preoperative nutritional status and use of total parenteral nutrition in pediatric and adolescent patients undergoing continent urinary tract reconstruction.

Journal of pediatric urology·2018
Same author

Clinical and urodynamic outcomes in children with anorectal malformation subtype of recto-bladder neck fistula.

Journal of pediatric urology·2017
Same author

Triamcinolone injection for treatment of Mitrofanoff stomal stenosis: Optimizing results and reducing cost of care.

Journal of pediatric urology·2017
Same author

Botulinum toxin injection in the pediatric population with medically refractory neuropathic bladder.

Journal of pediatric urology·2016
Same author

Infant robotic pyeloplasty: comparison with an open cohort.

Journal of pediatric urology·2013
Same journal

Multi-institutional Assessment of Performance Metrics for MRI-targeted Transperineal Prostate Biopsy.

The Journal of urology·2026
Same journal

Urinary Supersaturation in a Randomized Trial among Individuals with Recurrent Nephrolithiasis comparing Empiric versus Selective Preventive Therapy: The URINE Trial.

The Journal of urology·2026
Same journal

The FDA Should Allow More BCG Strains into the US Market: How Recent Landmark Trials Expose a Regulatory Paradox.

The Journal of urology·2026
Same journal

Let's Shift the Focus from Death to Life after Fournier's Gangrene.

The Journal of urology·2026
Same journal

Endourology and Nephrolithiasis.

The Journal of urology·2026
Same journal

With great cost comes great responsibility: who will own the rising costs of bladder cancer care?

The Journal of urology·2026
See all related articles

Bilateral extravesical detrusorrhaphy is a successful procedure for vesicoureteral reflux. Postoperative voiding dysfunction is uncommon and usually temporary, with a low morbidity rate.

Area of Science:

  • Pediatric Urology
  • Surgical Techniques
  • Voiding Dysfunction

Background:

  • Extravesical detrusorrhaphy is effective for unilateral vesicoureteral reflux.
  • Concerns exist regarding its use in bilateral cases due to potential voiding dysfunction.

Purpose of the Study:

  • To review the incidence of voiding dysfunction after bilateral extravesical detrusorrhaphy.
  • To assess the safety and efficacy of this surgical approach for bilateral ureteral reimplantation.

Main Methods:

  • A retrospective review of 123 patients (231 renal units) who underwent bilateral extravesical detrusorrhaphy between 1990 and 1995.
  • Exclusion of patients requiring anticholinergic therapy or intermittent catheterization at surgery.

Main Results:

Related Experiment Videos

  • A 98.3% success rate in correcting vesicoureteral reflux with no upper urinary tract obstruction.
  • Postoperative voiding dysfunction occurred in 6.5% of patients, with 2.5% experiencing transient irritative symptoms and 4% requiring temporary catheterization.
  • No significant long-term morbidity was observed.

Conclusions:

  • Bilateral extravesical detrusorrhaphy is a highly successful procedure with a low incidence of significant voiding dysfunction.
  • When voiding dysfunction occurs, it is typically transient and of minimal morbidity.
  • Younger patients and those with a prior history of voiding dysfunction may have an increased risk.