ArticleFrontiers in pediatrics2025
The effect of pneumovesicoscopic Cohen surgery using a segmented submucosal tunnel and reduced intra-abdominal pressure for the treatment of vesicoureteral reflux in children.
Article in Frontiers in pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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5 authors.
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Abstract
Objective: This study aims to explore the effect of using a segmented submucosal tunnel and reducing intra-abdominal pressure in the treatment of CO Method: A retrospective analysis was conducted on children aged 0-1 years with VUR who underwent pneumovesicoscopic Cohen surgery at the Department of Urology, Fujian Children's Hospital from 1 May 2021 to 1 October 2024. Among them, 56 cases had CO Results: No complications from bladder leakage, anastomotic stenosis, or urinary retention occurred in either group after surgery, and no reoperations were necessary. In Group A, two cases were converted to open surgery, while no conversions were necessary in Group B. No statistically significant difference was found in indicators such as placement of the ureteral catheter, pain score (6 h after surgery), postoperative hospitalization time, conversion to open reimplantation, postoperative UTI, postoperative VUR, and postoperative hematuria time. The operation time (187.11 ± 55.29 min vs. 157.79 ± 44.96 min, Conclusion: Reducing intra-abdominal pressure combined with segmental submucosal tunneling is a simple, safe, and effective approach, which is recommended for managing CO
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