Transvesicoscopic ureteral reimplantation: Politano-Leadbetter versus Cohen technique.
Int J Urol
; 22(4): 394-9, 2015 Apr.
Article
em En
| MEDLINE
| ID: mdl-25754455
ABSTRACT
OBJECTIVES:
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.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Reimplante
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Ureter
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Refluxo Vesicoureteral
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Laparoscopia
Tipo de estudo:
Observational_studies
Limite:
Adolescent
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Adult
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Child
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Child, preschool
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Female
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Humans
Idioma:
En
Ano de publicação:
2015
Tipo de documento:
Article