Comparison of Cohen and Lich-Gregoir ureteral reimplantation in the surgical management of primary unilateral vesicoureteral reflux in children

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dc.contributor.authorAydın, Cemil
dc.contributor.authorAkkoç, Ali
dc.contributor.authorTopaktaş, Ramazan
dc.contributor.authorŞentürk, Aykut Buğra
dc.contributor.authorAydın, Zeynep Banu
dc.contributor.authorÜrkmez, Ahmet
dc.contributor.authorYaytokgil, M.
dc.date.accessioned2021-02-19T21:20:44Z
dc.date.available2021-02-19T21:20:44Z
dc.date.issued2020
dc.departmentALKÜ
dc.description.abstractObjective: Vesicoureteral reflux (VUR) represents one of the most significant risk factors for acute pyelonephritis in children. Various intravesical and extravesical techniques have been described for the surgical correction of VUR. The aim of our study was to compare the results of open intravesical and extravesical procedures for unilateral primary VUR in children. Methods: Between January 2012 and August 2018, 38 children with primary VUR who underwent open ureteral reimplantation surgery were retrospectively reviewed. The Cohen (intravesical) and the Lich-Gregoir (extravesical) approach were grouped as groups A and B, respectively. The groups were compared for age, gender, preoperative reflux grade, presence of lower urinary tract symptoms, operation time, discomfort and pain, analgesic requirements, duration of hematuria, postoperative complications, and hospital stay. All the parameters were statistically compared. Results: There were 38 patients in this study. Group A had 18 patients, and group B had 20 patients. The mean operative time was significantly shorter in group B than in group A. The mean hospital stay was also shorter in group B. The urethral foley stay period was 4.7±0.9 days 2±0 days (p = 0.000?), respectively, for group A and B. Macroscopic hematuria was seen in group A. The objective pain scale was worse after intravesical surgery. Analgesic requirements were higher in group A (p =0.131). Conclusion: Intravesical and extravesical ureteroneocystostomy methods are equally successful and feasible in the treatment of primary unilateral VUR. The Cohen technique is associated with a longer and more painful hospital stay, gross hematuria, and longer operative time, compared to the Lich-Gregoir technique. © 2020 Associacao Medica Brasileira. All rights reserved.
dc.identifier.doi10.1590/1806-9282.66.4.424
dc.identifier.endpage429en_US
dc.identifier.issn0104-4230
dc.identifier.issue4en_US
dc.identifier.pmid32578774
dc.identifier.scopusqualityQ2
dc.identifier.startpage424en_US
dc.identifier.urihttps://doi.org/10.1590/1806-9282.66.4.424
dc.identifier.urihttps://hdl.handle.net/20.500.12868/632
dc.identifier.volume66en_US
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthor0-belirlenecek
dc.language.isoen
dc.publisherAssociacao Medica Brasileira
dc.relation.ispartofRevista da Associacao Medica Brasileira
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectPain measurement
dc.subjectReplantation
dc.subjectUreter/surgery
dc.subjectVesicoureteral reflux
dc.titleComparison of Cohen and Lich-Gregoir ureteral reimplantation in the surgical management of primary unilateral vesicoureteral reflux in children
dc.typeArticle

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