Long-term Outcomes of Cohen's Reimplantation in 182 Patients with Vesicoureteral Reflux.
- Author:
Jong Min PARK
1
;
Jin Il KIM
;
Seung Hyun JEON
Author Information
1. Department of Urology, School of Medicine, Kyung Hee University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Vesico-ureteral reflux;
Reimplantation
- MeSH:
Follow-Up Studies;
Humans;
Intestinal Pseudo-Obstruction;
Length of Stay;
Postoperative Complications;
Pyelonephritis;
Pyuria;
Replantation*;
Retrospective Studies;
Ureter;
Urography;
Vesico-Ureteral Reflux*
- From:Korean Journal of Urology
2005;46(1):14-18
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The perioperative and long-term outcomes of patients with vesicoureteral reflux (VUR) treated by cross-trigonal ureteroneocystostomy (Cohen's reimplantaion) over the last 18 years were ascertained. MATERIALS AND METHODS: 182 patients (322 renal units), who underwent Cohen's reimplantaion between January 1987 and February 2004, were retrospectively examined. The VUR grades were III in 38, IV in 214 and V in 70 renal units. The patients were followed up with postoperative voiding cystourethrography and intravenous pyelography for a mean 54.3, ranging from 3 to 176 months. RESULTS: The operation was successful in 316 of the 322 renal units (98.1%). The correction rates, according to the reflux grade, were 100, 98.6 and 95.7% for grades III to V, respectively. The correction rates, according to the period, were 98 and 98.4% before and after 1995, respectively. The correction rates, according to age, were 98.1 and 98.2% for below and above 2-years-old, respectively. The mean hospital stay was 8.4 days (6-21). Postoperative complications were observed in 11 patients, including persistent pyuria, persistent ipsilateral reflux, new contralateral reflux, paralytic ileus and acute pyelonephritis. Only 1 of these 11 patient required re-operation, while the remaining 10 were resolved during further follow up. CONCLUSIONS: A Cohen's reimplantation offers very good long-term results in curing VUR. This technique is a safe and effective method for ureteral reimplantation in patient with VUR, as it shows a relatively high success and low complication rates.
