Salvato in:
| Autori principali: | , , , , , , |
|---|---|
| Natura: | Artículo Open Access |
| Pubblicazione: |
Wiley
2025
|
| Soggetti: | |
| Accesso online: | https://onlinelibrary.wiley.com/doi/10.1111/ped.70010 |
| Tags: |
Aggiungi Tag
Nessun Tag, puoi essere il primo ad aggiungerne!!
|
Sommario:
- Lich–Gregoir vs. Cohen ureteral re‐implantation surgery for bilateral vesicoureteral reflux: A propensity score analysis Takayuki Fujii Hiroyuki Satoh Atsuko Sato Yoshiaki Ishizuka Mizuki Izawa Yuki Morimoto Ryuichi Shimono Pediatrics International Abstract Background The Lich–Gregoir procedure for bilateral vesicoureteral reflux (VUR) is limited by the risk of urinary retention. Here, we investigated the efficacy of the Lich–Gregoir procedure compared to that of the Cohen procedure for bilateral VUR in children. Methods We retrospectively evaluated children who underwent open ureteral re‐implantation for bilateral VUR between 2010 and 2022. The patients' clinical characteristics and perioperative outcomes were compared after 1:1 propensity score matching (PSM). Results A total of 137 patients were enrolled in this study, with 122 undergoing the Cohen procedure and 15 undergoing the Lich–Gregoir procedure. After PSM, there were 14 patients in each group. The operative time was shorter in the Lich–Gregoir group (121.0 vs. 157.0 min; p = 0.018), while the urethral Foley stay was longer in the Cohen group (6.0 vs. 4.0 days; p < 0.001). Only the Cohen group required ureteral catheter insertion (4.5 days) and had a higher rate of bladder spasms (85.7% vs. 0%; p < 0.001). The Cohen group experienced two postoperative complications, while the Lich–Gregoir group had one patient with temporary urinary retention. The hospitalization period was longer in the Cohen group (8.0 vs. 7.0 days; p < 0.001). There were no significant differences in postoperative hydronephrosis, postoperative urinary tract infection, and persistent VUR between the two groups. Conclusions The Lich–Gregoir procedure for bilateral VUR was safely and effectively performed in patients who met several criteria (e.g., toilet‐trained patients, mild‐to‐moderate reflux, and normal bladder volume and function). 10.1111/ped.70010 http://onlinelibrary.wiley.com/termsAndConditions#vor