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  • Title: Extravesical seromuscular ureteroneocystostomy: an effective and simple operation for treatment of vesicoureteral reflux.
    Author: Salehipour M, Jalaeian H, Shirazi M, Rajabi MJ.
    Journal: Urol Int; 2008; 80(2):208-11. PubMed ID: 18362494.
    Abstract:
    PURPOSE: To evaluate the success rate of extravesical seromuscular ureteroneocystostomy in the treatment of children with vesicoureteral reflux (VUR). PATIENTS AND METHODS: In a prospective study from August 2005 to January of 2006, 15 patients (11 girls, 4 boys), median age of 9.5 years (range: 1-24 years), with high-grade VUR underwent operation. Urinary tract ultrasonography and voiding cystoureterography (VCUG) were the main diagnostic tools to detect VUR before the operation and at 3 months after the operation. RESULTS: No VUR was detected at evaluation of 3-month postoperative VCUGs (14 cases, 93%). However, one child (7%) still had persistent VUR. This patient underwent reoperation and the length of the seromuscular tunnel was increased more with a favorable result. The overall success rate of this technique was about 93%. CONCLUSION: Extravesical seromuscular ureteroneocystostomy is simple and effective method for the treatment of VUR in children.
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