ArticleFrontiers in pediatrics2026
Pneumovesicoscopic ureteral reimplantation for pediatric vesicoureteral reflux: Politano-Leadbetter vs. Cohen technique.
Article in Frontiers in pediatrics, 2026. 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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10 authors.
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Abstract
Purpose: To investigate and compare the clinical efficacy of pneumovesicoscopic Politano-Leadbetter and Cohen ureteral reimplantation for primary vesicoureteral reflux (VUR) in children. Methods: We retrospectively reviewed 179 children with primary VUR (high-risk grade III and grades IV-V) who underwent pneumovesicoscopic ureteral reimplantation at our institution between October 2021 and January 2024. Patients were allocated to the Politano-Leadbetter group (Group P, Results: All procedures were completed pneumovesicoscopically without conversion to open surgery. In unilateral cases, there were no significant between-group differences in operative time (119.85 ± 29.13 vs. 116.21 ± 22.04 min, Conclusion: Pneumovesicoscopic ureteral reimplantation is a safe and effective minimally invasive approach for pediatric VUR in the short term. Although the Politano-Leadbetter technique is technically more demanding, it provides a more physiological ureteral course. Long-term outcomes require further validation.
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