An Operative Technique for the Correction of Vesicoureteral Reflux

Politano, Víctor A.; Leadbetter, Wyland F.

doi:10.1016/j.juro.2016.10.093

Cited by 142 publications

(36 citation statements)

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“…This was either side to end or side to side on the main renal artery. After the (end‐to‐side) vascular anastomoses on the external iliac vessels, a consultant transplant surgeon performed either an intravesical anastomosis described by Politano and Leadbetter or an extravesical anastomosis described by Lich and Gregoir as determined by randomization to create continuity of the urinary tract. A ureterovesical 8‐French stent was used as part of our standard care and was externalized suprapubically.…”

Section: Methodsmentioning

confidence: 99%

Ureteral length in live donor kidney transplantation; Does size matter?

et al. 2015

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SummaryThe aim of this study was to evaluate the role of ureteral length on urological complications. Data were retrospective collected from the INEX-trial database, a RCT to compare the intravesical to the extravesical ureteroneocystostomy. Ureteral length was measured in 198 recipients and used to divide recipients into three categories based on interquartile ranges: short (≤8.5 cm), medium (8.6-10.9 cm) and long ureters (≥11 cm). Urological complications were defined as the number of percutaneous nephrostomy placements (PCN). Fifty recipients fell into the short, 98 into the medium and 50 recipients into the long ureter category. Median follow-up was 26 (range 2-45) months. There was no significant difference in number of PCN placements between the categories. There were 9 (18%) PCN placements in the short ureter category, 21 (20%) in medium ureter category and 10 (21%) in the long ureter category, P = 0.886. Risk factor analysis for gender, arterial multiplicity and type of ureteroneocystostomy showed no differences in PCN placements between the three ureteral length categories. We conclude that ureteral length alone does not seem to influence the number of urological complications.

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Section: Methodsmentioning

confidence: 99%

Ureteral length in live donor kidney transplantation; Does size matter?

et al. 2015

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“…It is based on a passage of terminal segment of ureter under the mucous which is linked to bladder. It is Politano-Leadbetter technique[16]. In other hand the connection of the ureter is direct, which means without under passage of mucous, that was the case of 36.1% of our patients.…”

mentioning

confidence: 74%

Ureterovesical Reimplantation in the Teaching Clinic of Urology and Andrology at HKM National Teaching Hospital of Cotonou: Indications, Techniques and Outcomes: About 36 Cases

Fred¹,

Avakoudjo²,

Sewa³

et al. 2018

OJU

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Introduction: The presence of an obstacle in upper urinary tract, threatens kidneys and therapeutic arsenal includes an ureterovesical reimplantation especially in the case of lower ureteral obstacles. Ureterovesical reimplantation (UVR) techniques are numerous with each of its advantages and disadvantages. In order to review indications, techniques and the outcomes of the ureterovesical reimplantation in our context of work, we made this study. Material and Method: It was a retrospective, transversal, descriptive and analytic study conducted over a period of 10 years, in the department of urology University Hospital Center Hubert Koutoukou Maga of Cotonou. Patients over 15 years of age who have had a ureterovesical relocation had been included. Results: Thirty-six files were selected. Ureterovesical relocations accounted for 1.8% of surgical procedures. The ligatures iatrogenic ureters and vesico-vaginal fistulas were the most frequently involved in 33.4% and 27.8% respectively. The ureterovesical reimplantation was performed without anti-reflux plasty at 36.1% of patients. The technique of Politano-Leadbetter had been most accomplished, in 82.6% of the cases in which anti-reflux plasty had been made. Suites had been simple in 63.9% of patients. Postoperative complications were dominated by parietal suppurations and vesicocutaneous fistulas in respectively 6 and 4 patients. Conclusion: Ureterovesical reimplantations are interventions that require from the urologist a perfect knowledge given their complexity and the emergency context in which one may be led to practice them. They answer to general principles that reduce operative morbidity.

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“…Some centers try to reproduce the main open ureteral reimplant techniques. [8][9][10][11] But, to the best of our knowledge, no randomized multi-center clinical trial has determined the real benefit of laparoscopy and robotic approach to ureteral reimplant.…”

Section: ■ Surgical Techniquementioning

confidence: 99%

One wire tubeless ureteral reimplant: preliminary experience and step-by-step technique

Tobias-Machado¹,

Hidaka²,

Sato³

et al. 2017

Medical Express

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BACKGROUND AND OBJECTIVES: Ureteral Reimplant is commonly used in pediatric and gyne-cologic surgery. Most techniques demand an experienced surgeon and lasts 2-3 hours. There is no consensus about the preferred technique until today. We report a simple modification of the Taguchi to reduce duration and make it more suitable for laparoscopic approach. METHOD: Three patients underwent distal ureteral reimplant, based on our modified Taguchi minimally invasive approach technique. Cystography and ultrasonography were performed on the 30 th , 90 th and 180 th postoperative days to monitor kidneys; a one-year follow-up for recurrence or clinical symptoms was also performed. RESULTS: Operative time for ureteral reimplant using our technique was 15-25 minutes. The results of the performed exams on postoperative days showed normal kidneys without hydro-nephrosis. At the one-year follow-up no signs of recurrence or clinical symptoms were present. CONCLUSION: Our modifications allowed a faster and easier management of distal ureteral reimplant, with excellent perioperative and post-operative outcomes. To our knowledge this is the first detailed description of this technique through minimally invasive approach. However, further studies and a longer follow up will be necessaries to confirm the long-term outcomes and clinical benefits of our technical proposal.

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An Operative Technique for the Correction of Vesicoureteral Reflux

Cited by 142 publications

References 1 publication

Ureteral length in live donor kidney transplantation; Does size matter?

Ureteral length in live donor kidney transplantation; Does size matter?

Ureterovesical Reimplantation in the Teaching Clinic of Urology and Andrology at HKM National Teaching Hospital of Cotonou: Indications, Techniques and Outcomes: About 36 Cases

One wire tubeless ureteral reimplant: preliminary experience and step-by-step technique

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