Extravesical seromuscular ureteroneocystostomy: an effective and simple operation for treatment of vesicoureteral reflux.
OBJECTIVE
To evaluate the success rate of extravesical seromuscular ureteroneocystostomy in the treatment of children with vesicoureteral reflux (VUR).


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%.


CONCLUSIONS
Extravesical seromuscular ureteroneocystostomy is simple and effective method for the treatment of VUR in children.
Salehipour
Mehdi
M
Division of Urology, Department of Surgery, Faghihi Hospital, University of Medical Sciences, Shiraz, Iran. salehipour@sums.ac.ir
Jalaeian
Hamed
H
Shirazi
Mehdi
M
Rajabi
Mohamad Javad
MJ
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D003559:Cystostomy / Q000379:methods*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D011446:Prospective Studies; D014513:Ureter / Q000601:surgery*; D014718:Vesico-Ureteral Reflux / Q000601:surgery*