Pneumovesical Ureteric Reimplantation in Pediatric Patients: An Intermediate Term Result

Lau, Chin Tung; Lan, Lawrence C L; Wong, Kenneth K. Y.; Tam, Paul Kwong Hang

doi:10.1089/lap.2016.0236

Cited by 9 publications

(3 citation statements)

References 13 publications

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“…Two patients after subureteral injection could be operated on with the VCUR without any problems, but local scarring or ureteral wall injection are probably strictly limiting in this case [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

“…This is reflected in an increasing number of publications reporting positive results with respect to the high requirements for safety, success rate, and patient comfort. Advantages of VCUR are expected due to its minimal invasiveness, which should result in shorter hospitalization times, less need for analgesics, and barely visible scars [ 15 , 16 , 17 , 18 , 19 ].…”

Section: Introductionmentioning

confidence: 99%

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Vesicoscopic Cross-Trigonal Ureteral Reimplantation for Vesicoureteral Reflux: Intermediate Results

Kruppa¹,

Fitze²,

Schuchardt³

2022

Children

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For the treatment of vesicoureteral reflux, the introduction of vesicoscopic procedures offers new perspectives for improving patient comfort and quality. Our aim was to examine whether minimally invasive vesicoscopic cross-trigonal ureteral reimplantation (VCUR) would meet expectations. Between 2012 and 2021, 99 girls and 35 boys with high-grade vesicoureteral reflux (VUR) underwent VCUR. For two boys, we failed to establish the pneumovesicum, leading to conversion to open surgery. The mean age was 4.5 years, ranging from 10 months to 18 years. VCUR was successfully performed in 132 patients, including 75 patients with bilateral VUR and 12 children with double ureters with unilateral or bilateral VUR, corresponding to a total of 229 operated ureters. The mean time of operation was 151 min for all patients. There were no perioperative complications, with the exception of three cases of pneumoperitoneum without consequences. Postoperatively, we recognized three cases of acute hydronephrosis, two of them required transient drainage. Three patients developed extravasation of urine after the postoperative removal of the transurethral catheter, rapidly resolved by new drainage. In two patients, we combined VCUR with laparoscopic heminephrectomy and opposite laparoscopic nephrectomy, respectively. Overall, mean postoperative hospital stay was 4.2 days. We observed recurrent VUR in seven ureters, resulting in a success rate for VCUR of 96.9%. These results demonstrate the feasibility of VCUR and its potential to displace open surgery with high safety and wide applicability.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Vesicoscopic Cross-Trigonal Ureteral Reimplantation for Vesicoureteral Reflux: Intermediate Results

Kruppa¹,

Fitze²,

Schuchardt³

2022

Children

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“…Pneumovesical ureteric reimplantation (PUR) has been a major advancement in pediatric urology [1][2][3][4]. However anchoring the bladder to the abdominal wall remains to be a time consuming step of the operation.…”

Section: Introductionmentioning

confidence: 99%

Pneumovesical ureteric reimplantation using T-fastener: A modification for bladder wall anchorage

Lau

Lan

Wong

et al. 2017

Journal of Pediatric Urology

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Minimally Invasive Ureteral Reimplantation in Children with Vesicoureteral Reflux: History and Current Status

Magsanoc

Chua

2019

Endourology Progress

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Pneumovesical Ureteric Reimplantation in Pediatric Patients: An Intermediate Term Result

Abstract: Pneumovesical ureteric reimplantation is safe and effective for pediatric patients. Intermediate term result confirmed its reliability and low recurrence rate. It has good potential to become the preferred approach of choice in the future.

Cited by 9 publications

References 13 publications

Vesicoscopic Cross-Trigonal Ureteral Reimplantation for Vesicoureteral Reflux: Intermediate Results

Vesicoscopic Cross-Trigonal Ureteral Reimplantation for Vesicoureteral Reflux: Intermediate Results

Pneumovesical ureteric reimplantation using T-fastener: A modification for bladder wall anchorage

Minimally Invasive Ureteral Reimplantation in Children with Vesicoureteral Reflux: History and Current Status

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