ArticleJournal of clinical medicine2023
Vesicoscopic vs. Open Ureteral Reimplantation According to Cohen and Leadbetter-Politano for Vesicoureteral Reflux.
Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 7 citations in OpenAlex.
- Pneumovesicoscopic ureteral reimplantation for pediatric vesicoureteral reflux: Politano-Leadbetter vs. Cohen technique.Frontiers in pediatrics · 2026Article
- Current practices in robotic surgery for distal ureter in children: results from an EAU robotic urology section (ERUS) survey.Frontiers in pediatrics · 2026Article
- The effect of pneumovesicoscopic Cohen surgery using a segmented submucosal tunnel and reduced intra-abdominal pressure for the treatment of vesicoureteral reflux in children.Frontiers in pediatrics · 2025Article
- Advancements in Surgical Management of Megaureters.Current urology reports · 2024Review
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe minimally invasive implementations of the established open methods for the correction of primary vesicoureteral reflux have proven to be successful in terms of feasibility and safety. The aim of this study was to investigate to what extent pediatric patients benefit from vesicoscopic operations.
methodsBetween 2010 and 2022, 224 children (359 ureters) underwent ureteral reimplantation for vesicoureteral reflux in our clinic. Children, operated on according to the COHEN technique, underwent an open approach in 39 cases, whereas 151 patients were operated on vesicoscopically. A total of thirty-four children have received a ureteral reimplantation according to the LEADBETTER-POLITANO technique: twenty-nine openly and five vesicoscopically. The open and vesicoscopic groups were compared with regards to perioperative data and postoperative course.
resultsThe mean operating time was significantly shorter for open than for the vesicoscopic procedures in the COHEN group (99 vs. 149 min,
conclusionsFor almost all underlying causes, the surgical treatment of vesicoureteral reflux can be performed vesicoscopically, even if bilateral, in one session. Patients benefit significantly from the use of minimally invasive surgery in the postoperative course with faster mobilization, less need for analgesics, a shorter bladder drainage and a reduced hospital stay, compared with its open counterparts.
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