Bradic’s anti-reflux uretero-cysto-anastomosis in children with recurrent obstructive megaureter
- Authors: Kogan M.I1, Sizonov V.V1,2
-
Affiliations:
- Rostov State Medical University of the Russian Federation Ministry of Public Health
- Rostov Regional Children’s Clinical Hospital
- Issue: No 2 (2022)
- Pages: 5-10
- Section: Articles
- URL: https://journals.eco-vector.com/1728-2985/article/view/312839
- DOI: https://doi.org/10.18565/urology.2022.2.5-10
- ID: 312839
Cite item
Abstract
Introduction. Congenital ureterovesical junction (UVJ) obstructions quite rarely serve as an indication for ureteral reimplantation, and recurrent obstructions resulting from surgical treatment are even less frequent. Cases of acquired UVJ obstruction following endoscopy and ureteral reimplantation done for vesicoureteral reflux correction are fairly rare. The lack of known publications analyzing treatment of recurrent obstructive megaureter predetermines topicality of our research. Purpose. Evaluate the efficiency and safety of extravesical anti-reflux uretero-cysto-anastomosis performed using Bradic’s technique for children with recurrent obstructive megaureter (OM). Materials and methods. The work is based on the experience of surgical OM correction in 5 children aged 1 to 4 years, 4 boys and a girl with a recurrent UVJ obstruction following prior ureteral reimplantation for correction of UVJ obstruction (4 children) or vesicoureteral reflux (1 patient). Antenatal UVJ obstruction had been diagnosed in 2 patients. In all cases the examination included urine analysis, its culture study, ultrasonography of the kidneys and urinary tracts, dynamic renal scintigraphy, micturating cystography, and, where indicated, intravenous urography and SCT of the kidneys. All patients underwent Bradic’s extravesical reimplantation. Results. During postoperative care period, a considerable reduction of the dilatation of renal collecting system was accomplished in all five patients along with the differential renal function preserved on the presurgery level and a steady remission of urinary tract infection based on clinical manifestations and laboratory findings. Conclusions. The simplicity of Bradic’s extravesical ureteral reimplantation represents its advantage over intravesical methods. Extravesical approach allows easy ureteral length and width correction. Limited experience of Bradic’s surgery in pediatric cases of recurrent OM requires confirmation with further randomized clinical trials.
Full Text
About the authors
M. I Kogan
Rostov State Medical University of the Russian Federation Ministry of Public Health
Email: dept_kogan@mail.ru
Dr. Med. Sci., professor, Head of the Department of Urology and Human Reproductive Health (with the course of Pediatric Urology and Andrology)
V. V Sizonov
Rostov State Medical University of the Russian Federation Ministry of Public Health; Rostov Regional Children’s Clinical Hospital
Email: vsizonov@mail.ru
Dr. Med. Sci., professor of the Department of Urology and Human Reproductive Health (with the course of Pediatric Urology and Andrology); Head of the Pediatric Uroandrological Department
References
- Cohen S.J. Ureterozystoneostomie. Eine neue antirefluxtechnik. Akt Urol. 1975;6:1-8.
- Lich-Gregoir Congenital vesico-ureteral reflux. Acta Urol Belg. 1962;30:286-300. French. PMID: 13901619.
- Williams D.I., Eckstein H.B. Surgical treatment of reflux in children. Br J. Urol. 1965;37:13-24. doi: 10.1111/j.1464-410x.1965.tb09568.x. PMID: 14269341.
- Bradic I., Pasini M., Unusic J., Domitrovic B. Critical review of problems with antireflux plasty. Acta Chir Yugosl., 1973;20:3-23.
- Daines S.L. Hodgson N.B. Management of reflux in total duplication anomalies. J. Urol., 1971;105:720-724.
- Kalicinski Z.H., Kansy J., Kotarbinska B., Joszt W. Surgery of megaureters- modification of Hendren’s operation. J. Pediatr Surg. 1977; 12(2): 183- 188. doi: 10.1016/s0022-3468(77)80005-5. PMID: 845762.
- Starr A. Ureteral plication. A new concept in ureteral tailoring for megaureter. Invest Urol. 1979;17(2):153-58. PMID: 468516.
- Heijkant M.M., Dik P., Klijn A.J., Chrzan R., Kuijper C.F., de Jong T.P. Wrap plication of megaureter around normal-sized ureter for complete duplex system reimplantations. J. Urol. 2013;189(1):295-299. doi: 10.1016/j.juro.2012.09.004. Epub 2012 Nov 20. PMID: 23174243.
- Routh J.C., Bogaert G.A., Kaefer M., Manzoni G., Park J.M., Retik A.B., Rushton H.G., Snodgrass W.T., Wilcox D.T. Vesicoureteral reflux: current trends in diagnosis, screening, and treatment. Eur Urol. 2012;61(4):773- 782. doi: 10.1016/j.eururo.2012.01.002. Epub 2012 Jan 11. PMID: 22264440
- Jodal U., Smellie J.M., Lax H., Hoyer P.F. Ten-year results of randomized treatment of children with severe vesicoureteral reflux. Final report of the International Reflux Study in Children. Pediatr Nephrol. 2006;21(6):785- 792. doi: 10.1007/s00467-006-0063-0. Epub 2006 Mar 25. PMID: 16565873.
- Lopez M., Perez-Etchepare E., Bustangi N., Godik O., Juricic M., Varlet F., Gutierrez R., Gomez Culebras M., Gander R., Royo G., Asensio M. Laparoscopic Extravesical Reimplantation in Children with Primary Obstructive Megaureter. J. Laparoendosc Adv Surg Tech A. 2020 Mar 26. doi: 10.1089/lap.2019.0396. Epub ahead of print. PMID: 32212997.
- Bi Y., Sun Y. Laparoscopic pneumovesical ureteral tapering and reimplantation for megaureter. J. Pediatr Surg. 2012;47(12):2285-2288. doi: 10.1016/j.jpedsurg.2012.09.020. PMID: 23217890.
- Bradic I., Pasini M., Vlatkovic G. Antireflux ureterocystostomy at the vertex of the bladder. Br J. Urol. 1975;47(5):525-530. Doi: 10.1111/j. 1464-410x.1975.tb06253.x. PMID: 1191921.
- Bradic I., Batinica S., Husar J. Primary vesicoureteric reflux treated by antireflux ureterocystostomy at the vertex of the bladder. A 12-year follow-up and analysis of operative failure. Br J. Urol. 1988;62(6):531- 536. doi: 10.1111/j.1464-410x.1988.tb04420.x. PMID: 3219510.О
- Kim K.H., Lee Y.S., Im Y.J., Lee C.N., Han S.W. A modified technique for ureteral reimplantation: intravesical detrusorrhaphy. J. Pediatr Surg. 2013;48(8): 1813-18. doi: 10.1016/j.jpedsurg.2013.05.017. PMID: 23932628
- Chertin B., Pollack A., Koulikov D., Rabinowitz R., Shen O., Hain D., Hadas-Halpren I., Shenfeld O.Z., Farkas A. Long-term follow up of antenatally diagnosed megaureters. J. Pediatr Urol. 2008;4(3): 188- 191. doi: 10.1016/j.jpurol.2007.11.013. Epub 2008 Jan 14. PMID: 18631923.
- Chung P.H., Tang D.Y., Wong K.K., et al. Comparing open and pneumovesical approach for ureteric reimplantation in pediatric patients - A preliminary review. J. Pediatr Surg. 2008;43:2246-2249.
- Lopez M., Perez-Etchepare E., Bustangi N., Godik O., Juricic M., Varlet F., Gutierrez R., Gomez Culebras M., Gander R., Royo G., Asensio M. Laparoscopic Extravesical Reimplantation in Children with Primary Obstructive Megaureter. J. Laparoendosc Adv Surg Tech A. 2020 Mar 26. doi: 10.1089/lap.2019.0396. Epub ahead of print. PMID: 32212997.
- Дубров В.И., Каганцов И.М. Сравнение результатов внутрипузырной и внепузырной реимплантации мочеточника при двустороннем рефлюксирующем мегауретере у детей. Вестник урологии. 2020;8(2):21-28
- Liu W., Du G., Guo F., Ma R., Wu R. Modified ureteral orthotopic reimplantation method for managing infant primary obstructive megaureter: a preliminary study.Int Urol Nephrol. 2016;48(12):1937- 1941. doi: 10.1007/s11255-016-1409-6. Epub 2016 Sep 2. PMID: 27590133