Extravesical seromuscular ureteroneocystostomy: an effective and simple operation for treatment of vesicoureteral reflux.

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.