Results of the renewed extravesical reimplant for surgical correction of vesicoureteral reflux.
In 1987 Firlit et al described their results using Hodgson's technique of the modified extravesical Gregoir-Lich procedure. They coined the term detrusorrhaphy or extravesical ureteral advancement to describe this technique. During the last 4 years we performed this reimplantation on 211 ureters in 132 patients. Of the patients 79 had unilateral and 53 had bilateral procedures. Included were 6 megaureters requiring ureteral tailoring and 9 uncomplicated duplications. All but 1 patient were cured of reflux. No postoperative obstruction was encountered. Our results indicate that this is an excellent procedure to repair vesicoureteral reflux with minimal morbidity and short hospital stay.
Wacksman
J
J
Division of Pediatric Urology, Children's Hospital Medical Center, Cincinati, Ohio.
Gilbert
A
A
Sheldon
C A
CA
D002648:Child; D002675:Child, Preschool; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008722:Methods; D011183:Postoperative Complications; D014513:Ureter / Q000601:surgery; D001743:Urinary Bladder / Q000601:surgery; D014718:Vesico-Ureteral Reflux / Q000601:surgery*