Advertisement

Transvesicoscopic Cohen Ureteric Reimplantation for Vesico-Ureteral Reflux in Children

  • Jean-Stéphane Valla
Chapter

Abstract

The surgical correction of vesico-ureteral reflux (VUR) is the most frequent operation on the upper urinary tract in children. Several classical surgical techniques (e.g., Leadbetter-Politano, Lich-Gregoir, Cohen) have been widely proven on long-term follow up to correct pathological VUR. The main criteria for selecting a technique has been the success rate. In this respect, Cohen’s technique is probably the best, with resolution of reflux in approximately 98% of cases. However, bladder irritation and hematuria are the usual morbidities associated with bladder incision. The concept of minimally invasive management first appeared in 1984, with endoscopic correction by submucosal injection, an almost painless ambulatory method but one that is less effective than surgery (failure rate, 10% to 30%). Because of this competition between classical surgery and purely cystoscopic management, pediatric urologists loyal to the classical method have multiplied their efforts to simplify surgical techniques and to reduce postoperative pain and hospitalization.

Keywords

Bladder Wall Pediatric Urologist Submucosal Injection Ureteral Reimplantation Duplex System 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Yeung CK, Borzi PA. Pneumovesicoscopic Cohen ureteric reimplantation with carbon dioxide bladder insufflation for gross VUR. Br J Urol Int 2002;89(2): 15–86.Google Scholar
  2. 2.
    Yeung CK, Sihoe JD, Borzi PA. Endoscopic crosstrigonal ureteral reimplantation under carbon dioxide bladder insufflation: a novel technique. J Endourol 2005;19(3):295–299.PubMedCrossRefGoogle Scholar
  3. 3.
    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;109:23–25.PubMedGoogle Scholar
  4. 4.
    Peters CA, Woo R. Intravesical robotically assisted bilateral ureteral reimplantation. J Endourol 2005; 19(6):618–621.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London Limited 2007

Authors and Affiliations

  • Jean-Stéphane Valla
    • 1
  1. 1.Department of Paediatric SurgeryLenval FoundationNiceFrance

Personalised recommendations