Minimally Invasive Ureteral Reimplantation in Children with Vesicoureteral Reflux: History and Current Status

  • Nikko J. Magsanoc
  • Michael Chua


Ureteral reimplant being one of the most complex operative procedures performed in children, it is a rational challenge to incorporate minimally invasive approach of laparoscopy with or without robotic assistance to provide the equivalent clinical advantage seen with complex procedures in adult population. It is important to comprehend the history and current status of this technological application in children and recognizes the clinical factors affecting optimal surgical outcome. Furthermore, it is necessary to grasp the essential technical and technological advancement from current literature to promote better surgical outcome of this challenging yet rewarding procedure among children.


Pediatric vesicoureteral reflux Robot-assisted laparoscopy ureteral reimplantation Extravesical ureteral reimplantation Intravesical ureteral reimplantation 





Congenital anomalies of the kidney and urinary tract


Urinary tract infection


Ureterovesical junction


Voiding cystourethrogram


Vesicoureteral reflux



Conflict of Interest: None

Source of Funding: None


  1. Akhavan A, Avery D, Lendvay TS. Robot-assisted extravesical ureteral reimplantation: outcomes and conclusions from 78 ureters. J Pediatr Urol. 2014;10(5):864–8. Scholar
  2. Ansari MS, Mandhani A, Khurana N, Kumar A. Laparoscopic ureteral reimplantation with extracorporeal tailoring for megaureter: a simple technical nuance. J Urol. 2006;176(6 Pt 1):2640–2.PubMedGoogle Scholar
  3. Arlen AM, Cooper CS. Controversies in the management of vesicoureteral reflux. Curr Urol Rep. 2015;16(9):64. Scholar
  4. Arlen AM, Broderick KM, Travers C, Smith EA, Elmore JM, Kirsch AJ. Outcomes of complex robot-assisted extravesical ureteral reimplantation in the pediatric population. J Pediatr Urol. 2016;12(3):169.e1–6. Scholar
  5. Atala A, Kavoussi LR, Goldstein DS, Retik AB, Peters CA. Laparoscopic correction of vesicoureteral reflux. J Urol. 1993;150:748–51.PubMedGoogle Scholar
  6. Austin JC, Cooper CS. Vesicoureteral reflux: surgical approaches. Urol Clin North Am. 2004;31(3):543–57, x.PubMedGoogle Scholar
  7. Bansal D, Defoor WR Jr, Reddy PP, Minevich EA, Noh PH. Complications of robotic surgery in pediatric urology: a single institution experience. Urology. 2013;82(4):917–20. Scholar
  8. Barbosa JA, Barayan G, Gridley CM, Sanchez DC, Passerotti CC, Houck CS, Nguyen HT. Parent and patient perceptions of robotic vs open urological surgery scars in children. J Urol. 2013;190(1):244–50. Scholar
  9. Bayne AP, Shoss JM, Starke NR, Cisek LJ. Single-center experience with pediatric laparoscopic extravesical reimplantation: safe and effective in simple and complex anatomy. J Laparoendosc Adv Surg Tech A. 2012;22(1):102–6. Scholar
  10. Bi Y, Sun Y. Laparoscopic pneumovesical ureteral tapering and reimplantation for megaureter. J Pediatr Surg. 2012;47(12):2285–8. Scholar
  11. Bowen DK, Faasse MA, Liu DB, Gong EM, Lindgren BW, Johnson EK. Use of pediatric open, laparoscopic and robot-assisted laparoscopic ureteral reimplantation in the United States: 2000 to 2012. J Urol. 2016;196(1):207–12. Scholar
  12. Boysen WR, Ellison JS, Kim C, Koh CJ, Noh P, Whittam B, Palmer B, Shukla A, Kirsch A, Gundeti MS. Multi-institutional review of outcomes and complications of robot-assisted laparoscopic extravesical ureteral reimplantation for treatment of primary vesicoureteral reflux in children. J Urol. 2017;197(6):1555–61. Scholar
  13. Callewaert PR, Biallosterski BT, Rahnama’i MS, Van Kerrebroeck PE. Robotic extravesical anti-reflux operations in complex cases: technical considerations and preliminary results. Urol Int. 2012;88(1):6–11. Scholar
  14. Canon SJ, Jayanthi VR, Patel AS. Vesicoscopic cross-trigonal ureteral reimplantation: a minimally invasive option for repair of vesicoureteral reflux. J Urol. 2007;178(1):269–73, discussion 273.PubMedGoogle Scholar
  15. Carswell BM, Fefer SD, Fung LC. Laparoscopic bilateral extravesical ureteral reimplantation is associated with superior post-operative voiding efficiency—five years results. J Urol. 2003;169(4 Suppl):489A.Google Scholar
  16. Cartwright PC, Snow BW, Mansfield JC, Hamilton BD. Percutaneous endoscopic trigonoplasty: a minimally invasive approach to correct vesicoureteral reflux. J Urol. 1996;156(2 Pt 2):661–4.PubMedGoogle Scholar
  17. Casale P, Kojima Y. Robotic-assisted laparoscopic surgery in pediatric urology: an update. Scand J Surg. 2009;98(2):110–9.PubMedGoogle Scholar
  18. Casale P, Patel RP, Kolon TF. Nerve sparing robotic extravesical ureteral reimplantation. J Urol. 2008;179(5):1987–9; discussion 1990. Scholar
  19. Chalmers D, Herbst K, Kim C. Robotic-assisted laparoscopic extravesical ureteral reimplantation: an initial experience. J Pediatr Urol. 2012;8(3):268–71. Scholar
  20. Chan KW, Lee KH, Tam YH, Sihoe JD. Early experience of robotic-assisted reconstructive operations in pediatric urology. J Laparoendosc Adv Surg Tech A. 2010;20(4):379–82. Scholar
  21. Choi H, Park JY, Bae JH. Initial experiences of laparoscopic intravesical detrusorraphy using the Politano-Leadbetter technique. J Pediatr Urol. 2016;12(2):110.e1–7. Scholar
  22. Chung PH, Tang DY, Wong KK, Yip PK, Tam PK. Comparing open and pneumovesical approach for ureteric reimplantation in pediatric patients—a preliminary review. J Pediatr Surg. 2008;43(12):2246–9.
  23. Chung MS, Han SW, Jung HJ, Im YJ, Han HH, Na JC, Hong CH. Transvesicoscopic ureteral reimplantation in children with bilateral vesicoureteral reflux: surgical technique and results. J Laparoendosc Adv Surg Tech A. 2012;22(3):295–300.
  24. Dangle PP, Razmaria AA, Towle VL, Frim DM, Gundeti MS. Is pelvic plexus nerve documentation feasible during robotic assisted laparoscopic ureteral reimplantation with extravesical approach? J Pediatr Urol. 2013;9(4):442–7. Scholar
  25. Dangle PP, Shah A, Gundeti MS. Robot-assisted laparoscopic ureteric reimplantation: extravesical technique. BJU Int. 2014;114(4):630–2. Scholar
  26. David S, Kelly C, Poppas DP. Nerve-sparing extravesical repair of bilateral vesico-ureteral reflux. Description of technique and evaluation of urinary retention. J Urol. 2004;172:1617–20.PubMedGoogle Scholar
  27. Diaz EC, Lindgren BW, Gong EM. Carbon dioxide laser for detrusor tunnel creation in robot-assisted laparoscopic extravesical ureteral reimplant. J Pediatr Urol. 2014;10(6):1283.e1–2. Scholar
  28. Ehrlich RM, Gershman A, Fuchs G. Laparoscopic vesicoureteroplasty in children: initial case reports. Urology. 1994;43(2):255–61.PubMedGoogle Scholar
  29. El-Ghoneimi A. Paediatric laparoscopic surgery. Curr Opin Urol. 2003;13(4):329–35.PubMedGoogle Scholar
  30. Emir H, Mammadov E, Elicevik M, Buyukunal C, Soylet Y. Transvesicoscopic cross-trigonal ureteroneocystostomy in children: a single-center experience. J Pediatr Urol. 2012;8(1):83–6. Scholar
  31. Esposito C, Escolino M, Lopez M, Farina A, Cerulo M, Savanelli A, La Manna A, Caprio MG, Settimi A, Varlet F. Surgical management of pediatric vesicoureteral reflux: a comparative study between endoscopic, laparoscopic, and open surgery. J Laparoendosc Adv Surg Tech A. 2016;26(7):574–80. Scholar
  32. Faasse MA, Lindgren BW, Gong EM. Robot-assisted laparoscopic ureteral reimplantation with excisional tailoring for refluxing megaureter. J Pediatr Urol. 2014;10(4):773.e1–2. Scholar
  33. Finkelstein J, Eckersberger E, Sadri H, Taneja SS, Lepor H, Djavan B. Open versus laparoscopic versus robot-assisted laparoscopic prostatectomy: the European and US experience. Rev Urol. 2010;12(1):35–43.PubMedPubMedCentralGoogle Scholar
  34. Finkelstein JB, Levy AC, Silva MV, Murray L, Delaney C, Casale P. How to decide which infant can have robotic surgery? Just do the math. J Pediatr Urol. 2015;11(4):170.e1–4. Scholar
  35. Fung LC, Mc Lorie GA, Jain U, et al. Voiding efficiency after ureteral reimplantation: a comparison of extravesical and intravesical techniques. J Urol. 1995;153:1972–5.PubMedGoogle Scholar
  36. Garcia-Roig ML, Travers C, McCracken C, Cerwinka W, Kirsch JM, Kirsch AJ. Surgical scar location preference for pediatric kidney and pelvic surgery: a crowdsourced survey. J Urol. 2017;197(3 Pt 2):911–9. Scholar
  37. Gargollo PC. Hidden incision endoscopic surgery: description of technique, parental satisfaction and applications. J Urol. 2011;185(4):1425–31. Scholar
  38. Gatti JM, Cartwright PC, Hamilton BD, Snow BW. Percutaneous endoscopic trigonoplasty in children: long-term outcomes and modifications in technique. J Endourol. 1999;13:581–4.PubMedGoogle Scholar
  39. Gill IS, Ponsky LE, Desai M, Kay R, Ross JH. Laparoscopic cross-trigonal Cohen ureteroneocystostomy: novel technique. J Urol. 2001;166(5):1811–4.PubMedGoogle Scholar
  40. Grimsby GM, Dwyer ME, Jacobs MA, Ost MC, Schneck FX, Cannon GM, Gargollo PC. Multi-institutional review of outcomes of robot-assisted laparoscopic extravesical ureteral reimplantation. J Urol. 2015;193(5 Suppl):1791–5. Scholar
  41. Gundeti MS, Kojima Y, Haga N, Kiriluk K. Robotic-assisted laparoscopic reconstructive surgery in the lower urinary tract. Curr Urol Rep. 2013;14(4):333–41. Scholar
  42. Gundeti MS, Boysen WR, Shah A. Robot-assisted laparoscopic extravesical ureteral reimplantation: technique modifications contribute to optimized outcomes. Eur Urol. 2016;70(5):818–23. Scholar
  43. Harel M, Herbst KW, Silvis R, Makari JH, Ferrer FA, Kim C. Objective pain assessment after ureteral reimplantation: comparison of open versus robotic approach. J Pediatr Urol. 2015;11(2):82.e1–8. Scholar
  44. Hayashi Y, Mizuno K, Kurokawa S, Nakane A, Kamisawa H, Nishio H, Moritoki Y, Tozawa K, Kohri K, Kojima Y. Extravesical robot-assisted laparoscopic ureteral reimplantation for vesicoureteral reflux: initial experience in Japan with the ureteral advancement technique. Int J Urol. 2014;21(10):1016–21. Scholar
  45. Hayn MH, Smaldone MC, Ost MC, Docimo SG. Minimally invasive treatment of vesicoureteral reflux. Urol Clin North Am. 2008;35(3):477–88, ix. Scholar
  46. Heidenreich A, Ozgur E, Becker T, Haupt G. Surgical management of vesicoureteral reflux in pediatric patients. World J Urol. 2004;22(2):96–106.PubMedGoogle Scholar
  47. Herz D, Fuchs M, Todd A, McLeod D, Smith J. Robot-assisted laparoscopic extravesical ureteral reimplant: a critical look at surgical outcomes. J Pediatr Urol. 2016;12(6):402.e1–9. Scholar
  48. Hong CH, Kim JH, Jung HJ, Im YJ, Han SW. Single-surgeon experience with transvesicoscopic ureteral reimplantation in children with vesicoureteral reflux. Urology. 2011;77(6):1465–9. Scholar
  49. Janetschek G, Radmayr C, Bartsch G. Laparoscopic ureteral anti-reflux plasty reimplantation. First clinical experience. Ann Urol (Paris). 1995;29:101–5.Google Scholar
  50. Javali T, Pathade A, Nagaraj HK. Laparoscopic extravesical detrusorraphy, a minimally invasive treatment option for vesicoureteral reflux: a single centre experience. J Pediatr Urol. 2015;11(2):88.e1–6. Scholar
  51. Kasturi S, Sehgal SS, Christman MS, Lambert SM, Casale P. Prospective long-term analysis of nerve-sparing extravesical robotic-assisted laparoscopic ureteral reimplantation. Urology. 2012;79(3):680–3. Scholar
  52. Kawauchi A, Fujito A, Soh J, Ukimura O, Mizutani Y, Miki T. Laparoscopic correction of vesicoureteral reflux using the Lich-Gregoir technique: initial experience and technical aspects. Int J Urol. 2003;10(2):90–3.PubMedGoogle Scholar
  53. Kawauchi A, Naitoh Y, Soh J, Hirahara N, Okihara K, Miki T. Transvesical laparoscopic cross-trigonal ureteral reimplantation for correction of vesicoureteral reflux: initial experience and comparisons between adult and pediatric cases. J Endourol. 2009;23(11):1875–8. Scholar
  54. Kennelly MJ, Bloom DA, Ritchey ML, Panzl AC. Outcome analysis of bilateral Cohen cross-trigonal ureteroneocystostomy. Urology. 1995;46(3):393–5.PubMedGoogle Scholar
  55. Khan A, Rahiman M, Verma A, Bhargava R. Novel technique of laparoscopic extravesical ureteric reimplantation in primary obstructive megaureter. Urol Ann. 2017;9(2):150–2. Scholar
  56. Kim SW, Lim NL, Lee YS, Han SW, Im YJ. Laparoscopic intravesical detrusorrhaphy with ureteral plication for megaureter: a novel technique. Urology. 2015;86(1):187–91. Scholar
  57. Kim SW, Lee YS, Han SW. Endoscopic injection therapy. Investig Clin Urol. 2017;58(Suppl 1):S38–45. Scholar
  58. Kojima Y, Mizuno K, Umemoto Y, Yasui T, Hayashi Y, Kohri K. Ureteral advancement in patients undergoing laparoscopic extravesical ureteral reimplantation for treatment of vesicoureteral reflux. J Urol. 2012;188(2):582–7. Scholar
  59. Kurtz MP, Leow JJ, Varda BK, Logvinenko T, Yu RN, Nelson CP, Chung BI, Chang SL. Robotic versus open pediatric ureteral reimplantation: costs and complications from a nationwide sample. J Pediatr Urol. 2016;12(6):408.e1–6. Scholar
  60. Kutikov A, Guzzo TJ, Canter DJ, Casale P. Initial experience with laparoscopic transvesical ureteral reimplantation at the Children’s Hospital of Philadelphia. J Urol. 2006;176(5):2222–5; discussion 2225–6.PubMedGoogle Scholar
  61. Lakshmanan Y, Fung LC. Laparoscopic extravesicular ureteral reimplantation for vesicoureteral reflux: recent technical advances. J Endourol. 2000;14(7):589–93; discussion 593–4.PubMedGoogle Scholar
  62. Lakshmanan Y, Mathews RI, Cadeddu JA, Chen RN, Slaughenhoupt BL, Moore RG, Docimo SG. Feasibility of total intravesical endoscopic surgery using mini-instruments in a porcine model. J Endourol. 1999;13(1):41–5.PubMedGoogle Scholar
  63. Lau CT, Lan LC, Wong KK, Tam PK. Pneumovesical ureteric reimplantation in pediatric patients: an intermediate term result. J Laparoendosc Adv Surg Tech A. 2017;27(2):203–5. Scholar
  64. Lendvay T. Robotic-assisted laparoscopic management of vesicoureteral reflux. Adv Urol. 2008;2008:732942. Scholar
  65. Lopez M, Melo C, François M, Varlet F. Laparoscopic extravesical transperitoneal approach following the Lich-Gregoir procedure in refluxing duplicated collecting systems: initial experience. J Laparoendosc Adv Surg Tech A. 2011;21(2):165–9. Scholar
  66. Marchini GS, Hong YK, Minnillo BJ, Diamond DA, Houck CS, Meier PM, Passerotti CC, Kaplan JR, Retik AB, Nguyen HT. Robotic assisted laparoscopic ureteral reimplantation in children: case matched comparative study with open surgical approach. J Urol. 2011;185(5):1870–5. Scholar
  67. McDougall EM, Urban DA, Kerbl K, Clayman RV, Fadden P, Royal HD, Chandhoke PS, Stone AM. Laparoscopic repair of vesicoureteral reflux utilizing the Lich-Gregoir technique in the pig model. J Urol. 1995;153:497–500.PubMedGoogle Scholar
  68. Moritoki Y, Kojima Y, Kohri K. Laparoscopic extravesical ureteral reimplantation with diverticulectomy for refluxing ureters associated with paraureteral diverticula. Int J Urol. 2012;19(5):488–9. Scholar
  69. Okamura K, Ono Y, Yamada Y, Kate T, Ohshima S, Miyuke K. Endoscopic trigonoplasty for primary vesicoureteral reflux: initial case report. Jap J Endourol ESWL. 1993;6:226.Google Scholar
  70. Okamura K, Yamada Y, Tsuji Y, Sakakibara T, Kondo A, Ono Y, Ohshima S, Miyake K. Endoscopic trigonoplasty in pediatric patients with primary vesicoureteral reflux: preliminary report. J Urol. 1996;156(1):198–200.PubMedGoogle Scholar
  71. Okamura K, Kato N, Tsuji Y, et al. A comparative study of endoscopic trigonoplasty for vesicoureteral reflux in children and in adults. Int J Urol. 1999;6:562–6.PubMedGoogle Scholar
  72. Olsen LH, Deding D, Yeung CK, Jorgensen TM. Computer assisted laparoscopic pneumovesical ureter reimplantation a.m. Cohen: initial experience in a pig model. APMIS Suppl. 2003:23–5.Google Scholar
  73. Patel VR, Ramalingam M, editors. Operative atlas of laparoscopic and robotic reconstructive urology [electronic resource]. 2nd ed. Cham: Springer International Publishing; 2017.Google Scholar
  74. Peters CA. Robotically assisted surgery in pediatric urology. Urol Clin North Am. 2004;31(4):743–52.PubMedGoogle Scholar
  75. Peters CA, Woo R. Intravesical robotically assisted bilateral ureteral reimplantation. J Endourol. 2005;19:618–21.PubMedGoogle Scholar
  76. Peters CA, Skoog SJ, Arant BS Jr, Copp HL, Elder JS, Hudson RG, Khoury AE, Lorenzo AJ, Pohl HG, Shapiro E, Snodgrass WT, Diaz M. Summary of the AUA guideline on management of primary vesicoureteral reflux in children. J Urol. 2010;184(3):1134–44. Scholar
  77. Phillips EA, Wang DS. Current status of robot-assisted laparoscopic ureteral reimplantation and reconstruction. Curr Urol Rep. 2012;13(3):190–4. Scholar
  78. Reddy PK, Evans RM. Laparoscopic ureteroneocystostomy. J Urol. 1994;152(6 Pt 1):2057–9.PubMedGoogle Scholar
  79. Riquelme M, Lopez M, Landa S, Mejia F, Aranda A, Rodarte-Shade M, Rodriguez-Gomez J, Torres-Riquelme J. Laparoscopic extravesical ureteral reimplantation (LEVUR): a multicenter experience with 95 cases. Eur J Pediatr Surg. 2013;23(2):143–7. Scholar
  80. Sakamoto W, Nakatani T, Sakakura T, Takegaki Y, Ishi K, Kamikawa S, Sugimoto T. Extraperitoneal laparoscopic Lich-Gregoir antireflux plasty for primary vesicoureteral reflux. Int J Urol. 2003;10(2):94–7; discussion 98.PubMedGoogle Scholar
  81. Sávio LF, Nguyen HT. Robot-assisted laparoscopic urological surgery in children. Nat Rev Urol. 2013;10(11):632–9. Scholar
  82. Schimberg W, Wacksman J, Rudd R, Lewis AG, Sheldon CA. Laparoscopic correction of vesicoureteral reflux in the pig. J Urol. 1994;151:1664–7.PubMedGoogle Scholar
  83. Schober MS, Jayanthi VR. Vesicoscopic ureteral reimplant: is there a role in the age of robotics? Urol Clin North Am. 2015;42(1):53–9. Scholar
  84. Schomburg JL, Haberman K, Willihnganz-Lawson KH, Shukla AR. Robot-assisted laparoscopic ureteral reimplantation: a single surgeon comparison to open surgery. J Pediatr Urol. 2014;10(5):875–9. Scholar
  85. Schwentner C, Oswald J, Lunacek A, Deibl M, Koerner I, Bartsch G, Radmayr C. Lich-Gregoir reimplantation causes less discomfort than Politano-Leadbetter technique: results of a prospective, randomized, pain scale-oriented study in a pediatric population. Eur Urol. 2006;49(2):388–95.PubMedGoogle Scholar
  86. Shu T, Cisek LJ Jr, Moore RG. Laparoscopic extravesical reimplantation for postpubertal vesicoureteral reflux. J Endourol. 2004;18(5):441–6.PubMedGoogle Scholar
  87. Silay MS, Baek M, Koh CJ. Robot-assisted laparoscopic extravesical ureteral reimplantation in children: top-down suturing technique without stent placement. J Endourol. 2015;29(8):864–6. Scholar
  88. Silay MS, Turan T, Kayalı Y, Başıbüyük İ, Gunaydin B, Caskurlu T, Karaman Mİ. Comparison of intravesical (Cohen) and extravesical (Lich-Gregoir) ureteroneocystostomy in the treatment of unilateral primary vesicoureteric reflux in children. J Pediatr Urol. 2017. pii: S1477-5131(17)30404-7.
  89. Simforoosh N, Nadjafi-Semnani M, Shahrokhi S. Extraperitoneal laparoscopic trigonoplasty for treatment of vesicoureteral reflux: novel technique duplicating its open counterpart. J Urol. 2007;177(1):321–4.PubMedGoogle Scholar
  90. Smaldone MC, Polsky E, Ricchiuti DJ, Docimo SG. Advances in pediatric urologic laparoscopy. ScientificWorldJournal. 2007;7:727–41.PubMedPubMedCentralGoogle Scholar
  91. Smith RP, Oliver JL, Peters CA. Pediatric robotic extravesical ureteral reimplantation: comparison with open surgery. J Urol. 2011;185(5):1876–81. Scholar
  92. Soh S, Kobori Y, Shin T, Suzuki K, Iwahata T, Sadaoka Y, Sato R, Nishi M, Iwamura M, Okada H. Transvesicoscopic ureteral reimplantation: Politano-Leadbetter versus Cohen technique. Int J Urol. 2015;22(4):394–9. Scholar
  93. Sorensen MD, Johnson MH, Delostrinos C, Bice JB, Grady RW, Lindsay TS. Initiation of a paediatric robotic surgery program: institutional challenges and realistic outcomes. Surg Endosc. 2010;24(11):2803–8.Google Scholar
  94. Soulier V, Scalabre AL, Lopez M, Li CY, Thach S, Vermersch S, Varlet FO. Laparoscopic vesico-ureteral reimplantation with Lich-Gregoir approach in children: medium term results of 159 renal units in 117 children. World J Urol. 2017;35(11):1791–8. Scholar
  95. Srougi V, Yorioka M, Sanchez DC, Onal B, Houck CS, Nguyen HT. The feasibility of robotic urologic surgery in infants and toddlers. J Pediatr Urol. 2013;9(6Pt B):1198–203. Scholar
  96. Tekgul S, Dogan HS, Kocvara R, Nijman JM, Radmayr C, Stein R, Silay MS, Undre S, Quaedackers J. European Association of Urology (EAU) Guidelines in Paediatric Urology, presented at the EAU Annual Congress London 2017. Arnhem, The Netherlands: EAU Guidelines Office. 978-90-79754-91-5. Accessed 21 Nov 2017.
  97. Tsai YC, Wu CC, Yang SS. Minilaparoscopic nerve-sparing extravesical ureteral reimplantation for primary vesicoureteral reflux: a preliminary report. J Laparoendosc Adv Surg Tech A. 2008;18(5):767–70. Scholar
  98. Tsuji Y, Okamura K, Nishimura T, Okamoto N, Kobayashi M, Kinukawa T, Ohshima S. A new endoscopic ureteral reimplantation for primary vesicoureteral reflux (endoscopic trigonoplasty II). J Urol. 2003;169(3):1020–2.PubMedGoogle Scholar
  99. Vachvanichsanong P, Dissaneewate P, McNeil E. What did we find from imaging studies in childhood urinary tract infection and which studies are mandatory? Urology 2017; 2. pii: S0090-4295(17)31047-6. doi:
  100. Valla JS, Steyaert H, Griffin SJ, Lauron J, Fragoso AC, Arnaud P, Léculée R. Transvesicoscopic Cohen ureteric reimplantation for vesicoureteral reflux in children: a single-centre 5-year experience. J Pediatr Urol. 2009;5(6):466–71. Scholar
  101. Weiss DA, Shukla AR. The robotic-assisted ureteral reimplantation: the evolution to a new standard. Urol Clin North Am. 2015;42(1):99–109. Scholar
  102. Yeung CK, Sihoe JD, Borzi PA. Endoscopic cross-trigonal ureteral reimplantation under carbon dioxide bladder insufflation: a novel technique. J Endourol. 2005;19(3):295–9.PubMedGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Nikko J. Magsanoc
    • 1
    • 2
  • Michael Chua
    • 3
  1. 1.Section of Pediatric UrologySt. Luke’s Medical CenterTaguigPhilippines
  2. 2.College of MedicineUniversity of the PhilippinesQuezon CityPhilippines
  3. 3.The Hospital for Sick ChildrenTorontoCanada

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