Technique of intravesical laparoscopy for ureteric reimplantation to treat VUR.
The prevalence of vesicoureteral reflux (VUR) has been estimated as 0.4 to 1.8% among the pediatric population. In children with urinary tract infection, the prevalence is typically from 30-50% with higher incidence occurring in infancy. When correction of VUR is determined to be necessary, traditionally open ureteral reimplantation by a variety of techniques has been the mainstay of treatment. This approach is justified because surgical correction affords a very high success rate of 99% in experienced hands and a low complication rate. In that context the purpose of presenting our surgical technique: laparoscopic intravesical ureteric reimplantation is to highlight the use of laparoscopy to perform ureteric reimplantation for the management of pediatric VUR.
Thakre
Atul A
AA
Minimally Invasive Pediatric Urology Centre and Children's Continence Care Centre, Sterling Hospital, Ahmedabad, Gujarat, 380052, India. drthakre@gmail.com
Yeung
C K
CK