Division of Urology, Department of Surgery, Faghihi Hospital, University of Medical Sciences, Shiraz, Iran.

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To evaluate the success rate of extravesical seromuscular ureteroneocystostomy in the treatment of children with vesicoureteral reflux (VUR).

In a prospective study from August 2005 to January of 2006, 15 patients (11 girls, 4 boys), median age of 9.5 years (range: 1-24 years), with high-grade VUR underwent operation. Urinary tract ultrasonography and voiding cystoureterography (VCUG) were the main diagnostic tools to detect VUR before the operation and at 3 months after the operation.

No VUR was detected at evaluation of 3-month postoperative VCUGs (14 cases, 93%). However, one child (7%) still had persistent VUR. This patient underwent reoperation and the length of the seromuscular tunnel was increased more with a favorable result. The overall success rate of this technique was about 93%.

Extravesical seromuscular ureteroneocystostomy is simple and effective method for the treatment of VUR in children.

Written by
Salehipour M, Jalaeian H, Shirazi M, Rajabi MJ.

Reference
Urol Int. 2008;80(2):208-11.
doi:10.1159/000112615

PubMed Abstract
PMID:18362494

UroToday.com Pediatric Urology Section

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