Extra Vesical Repair of Primary Vesicoureteral Reflux in Children

Abstract

An operative procedure for the repair of primary vesicoureteral reflux in 51 children (83 renal units) is described, its merits are discussed and its advantages are stressed. Reflux was prevented in 90.2 per cent of the children and 74.5 per cent of the patients remained free of infection. No obstruction has occurred in our series as compared to a 5 per cent incidence rate in cases of ureteroneocystostomy. Our procedure is not recommended for megaureters with reflux or for recurrent vesicoureteral reflux.

Lich-Gregoir Anti-Reflux Operation: A Surgical Experience and 5-20 Years of Follow-Up in 149 Ureters

“…Based on our previous experience [10], we have come to the conclusion that the treatment of choice should be antireflux repair of both sides during the same operation, thereby preventing the need to reoperate, after success has been achieved on one side and vesicoureteral reflux occurs on the other.…”

Tratamiento del reflujo vesico-ureteral primario en la infancia: comparación de dos revisiones sistemáticas

“…Se han analizado 10 estudios 151,157,163,164,167,168,[202][203][204][205] en los que de forma principal ha sido analizado este parámetro, sobre un total de 637 pacientes, todos ellos realizados con cirugía abierta de reimplante ureteral. La estancia media osciló entre 2,4 días y 13,9 días aunque parece variar en función de la técnica usada (menor para las técnicas exravesicales que para las de reimplante intravesical) y de si se dejan catéteres ureterales o no (5,4-5,6 días frente a los 2,7-4,2 días respectivamente).…”