Extravesical seromuscular ureteroneocystostomy: an effective and simple operation for treatment of vesicoureteral reflux

Mehdi Salehipour, Hamed Jalaeian, Mehdi Shirazi, Mohamad Javad Rajabi

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: To evaluate the success rate of extravesical seromuscular ureteroneocystostomy in the treatment of children with vesicoureteral reflux (VUR). Patients and Methods: 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. Results: 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%. Conclusion: Extravesical seromuscular ureteroneocystostomy is simple and effective method for the treatment of VUR in children.

Original languageEnglish (US)
Pages (from-to)208-211
Number of pages4
JournalUrologia Internationalis
Volume80
Issue number2
DOIs
StatePublished - Mar 2008

Keywords

  • Bladder
  • Extravesical ureteroneocystostomy
  • Ureter
  • Vesicoureteral reflux

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