Comparison of Cohen and Lich-Gregoir ureteral reimplantation in the surgical management of primary unilateral vesicoureteral reflux in children

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dc.authoridYaytokgil, Muhammet / 0000-0002-4956-2659
dc.authoridTopaktaş, Ramazan / 0000-0003-3729-3284
dc.authoridAkkoç, Ali / 0000-0002-4325-1075
dc.authoridAydın, Cemil / 0000-0002-7271-5748
dc.authoridÜrkmez, Ahmet / 0000-0001-8357-7734
dc.authoridŞentürk, Aykut Buğra / 0000-0001-7966-822X
dc.authorwosidYaytokgil, Muhammet / ABH-6554-2020
dc.authorwosidTopaktaş, Ramazan / ABH-8184-2020
dc.authorwosidÜrkmez, Ahmet / G-1473-2017
dc.contributor.authorAydın, Cemil
dc.contributor.authorAkkoç, Ali
dc.contributor.authorTopaktaş, Ramazan
dc.contributor.authorŞentürk, Aykut Buğra
dc.contributor.authorAydın, Zeynep Banu
dc.contributor.authorÜrkmez, Ahmet
dc.contributor.authorYaytokgil, Muhammet
dc.date.accessioned2021-11-01T15:05:05Z
dc.date.available2021-11-01T15:05:05Z
dc.date.issued2020
dc.departmentHitit Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.description.abstractOBJECTIVE: Vesicoureteral reflux (VUR) represents one of the most significant risk factors for acute pyelonephritis in children. Various intravesical and extravesical techniques have been described for the surgical correction of VUR. The aim of our study was to compare the results of open intravesical and extravesical procedures for unilateral primary VUR in children. METHODS: Between January 2012 and August 2018, 38 children with primary VUR who underwent open ureteral reimplantation surgery were retrospectively reviewed. The Cohen (intravesical) and the Lich-Gregoir (extravesical) approach were grouped as groups A and B, respectively. The groups were compared for age, gender, preoperative reflux grade, presence of lower urinary tract symptoms, operation time, discomfort and pain, analgesic requirements, duration of hematuria, postoperative complications, and hospital stay. All the parameters were statistically compared. RESULTS: There were 38 patients in this study. Group A had 18 patients, and group B had 20 patients. The mean operative time was significantly shorter in group B than in group A. The mean hospital stay was also shorter in group B. The urethral foley stay period was 4.7 0.9 days 2 0 days (p = 0.000), respectively, for group A and B. Macroscopic hematuria was seen in group A. The objective pain scale was worse after intravesical surgery. Analgesic requirements were higher in group A (p =0.131). CONCLUSION: Intravesical and extravesical ureteroneocystostomy methods are equally successful and feasible in the treatment of primary unilateral VUR. The Cohen technique is associated with a longer and more painful hospital stay, gross hematuria, and longer operative time, compared to the Lich-Gregoir technique.
dc.identifier.citationAydin, C., Akkoc, A., Topaktas, R., Senturk, A. B., Aydin, Z. B., Ürkmez, A., & Yaytokgil, M. (2020). Comparison of Cohen and Lich-Gregoir ureteral reimplantation in the surgical management of primary unilateral vesicoureteral reflux in children. Revista da Associação Médica Brasileira, 66, 424-429.
dc.identifier.doi10.1590/1806-9282.66.4.424
dc.identifier.endpage429en_US
dc.identifier.issn1806-9282
dc.identifier.issue4en_US
dc.identifier.pmid32578774
dc.identifier.scopus2-s2.0-85086977257
dc.identifier.scopusqualityQ2
dc.identifier.startpage424en_US
dc.identifier.urihttps://doi.org/10.1590/1806-9282.66.4.424
dc.identifier.urihttps://hdl.handle.net/11491/7104
dc.identifier.volume66en_US
dc.identifier.wosWOS:000541794900011
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorAydın, Cemil
dc.institutionauthorŞentürk, Aykut Buğra
dc.institutionauthorAydın, Zeynep Banu
dc.institutionauthorYaytokgil, Muhammet
dc.language.isoen
dc.publisherAssoc Medica Brasileira
dc.relation.ispartofRevista Da Associacao Medica Brasileira
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectVesicoureteral Refluxen_US
dc.subjectUreter/surgeryen_US
dc.subjectPain measurementen_US
dc.subjectReplantationen_US
dc.titleComparison of Cohen and Lich-Gregoir ureteral reimplantation in the surgical management of primary unilateral vesicoureteral reflux in children
dc.typeArticle

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