Should simultaneous ureteral reimplantation be performed during sigmoid bladder augmentation to reduce vesicoureteral reflux in neurogenic bladder cases?

Abstract

A preoperative intravesical VUR pressure of 20 cmH2O is not an effective cutoff point for whether ureteral reimplantation should be simultaneously performed during SBA. Augmentation appears to be more important than reimplantation for protecting kidney from damage due to febrile urinary tract infection after SBA. Simultaneous reimplantation may be not necessary during SBA in neurogenic bladder.

Surgical management of the neurogenic bladder after spinal cord injury

“…Many studies combined AC with concomitant bladder outlet procedures. But AC performed as the sole technique gave a high percentage of continence and significant improvement in quality of life which may be arguments in favor of a stepwise approach [42].…”

“…Whether patients with vesicoureteral reflux should have ureteric reimplantation during the AC procedure remains uncertain. Follow-up after AC has shown the disappearance or significant improvement in reflux, meaning that the addition of ureteral reimplantation in AC is probably an unnecessary step for improving symptomatic UTI and preserving renal function [42].…”