title: Transvesicoscopic ureteral reimplantation: Politano-Leadbetter versus Cohen technique.
abstract: OBJECTIVE
  To compare the outcomes of the Politano-Leadbetter and Cohen techniques in laparoscopic pneumovesicum approach for ureteral reimplantation.
  
  
  METHODS
  We retrospectively reviewed the medical records of 24 patients who underwent transvesicoscopic ureteral reimplantation during the period from 2007 to 2014. The patients were treated with either the Cohen or Politano-Leadbetter technique. Operative duration, duration of hospital stay, and success and complication rates were compared.
  
  
  RESULTS
  Operative duration was 1 h longer for the Politano-Leadbetter technique than for the Cohen technique (P < 0.05). Foley catheters were removed 2-3 days after the procedures. The mean hospital stay was 3.6 days. Reflux completely resolved in 21 patients (35 ureters, 94.6%), but not in two patients (2 ureters). There was no difference in the success rate or durations of catheterization or hospital stay between patients treated with the Politano-Leadbetter technique and those treated with the Cohen technique.
  
  
  CONCLUSIONS
  The Politano-Leadbetter and Cohen techniques are both reliable for transvesicoscopic ureteral reimplantation. Despite a longer operative time, because of the higher surgical complexity, the Politano-Leadbetter ureteral reimplantation offers important physiological advantages over other techniques.
authors.affiliation: Department of Urology, Dokkyo Medical University Koshigaya Hospital, Koshigaya.
authors.forename: Shigehiro
authors.initials: S
authors.lastname: Soh
authors.forename: Yoshitomo
authors.initials: Y
authors.lastname: Kobori
authors.forename: Takeshi
authors.initials: T
authors.lastname: Shin
authors.forename: Keisuke
authors.initials: K
authors.lastname: Suzuki
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Iwahata
authors.forename: Yuko
authors.initials: Y
authors.lastname: Sadaoka
authors.forename: Ryo
authors.initials: R
authors.lastname: Sato
authors.forename: Morihiro
authors.initials: M
authors.lastname: Nishi
authors.forename: Masatsugu
authors.initials: M
authors.lastname: Iwamura
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Okada
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D007902:Length of Stay; D061646:Operative Time; D012092:Replantation / Q000009:adverse effects / Q000379:methods*; D012189:Retrospective Studies; D016896:Treatment Outcome; D014513:Ureter / Q000601:surgery*; D001743:Urinary Bladder; D014546:Urinary Catheterization; D014718:Vesico-Ureteral Reflux / Q000601:surgery*; D055815:Young Adult
keywords: laparoscopic; pneumovesicum; transvesical; ureteral reimplantation; vesicoureteral reflux