Isolated laparoscopic extra-vesical ureteric reimplantation (I-LEVUR) for upper moiety ectopic ureter without lower moiety vesicoureteric reflux
Topic overview
This study demonstrates that isolated laparoscopic extravesical ureteric reimplantation (I-LEVUR) successfully treats upper moiety ectopic ureters in duplex systems while preserving the normal lower moiety orifice. In 12 pediatric patients followed for a median of 78.5 months, the technique achieved excellent continence outcomes with minimal complications, offering a less invasive alternative to traditional en bloc reimplantation.
Key takeaways
- I-LEVUR selectively reimplants only the ectopic upper moiety ureter, preserving the normal lower moiety orifice and reducing surgical trauma
- In 12 patients (median age 2.8 years), I-LEVUR achieved 100% continence improvement with no obstruction over 78.5-month median follow-up
- Only 2/12 patients developed mild VUR post-I-LEVUR, both managed conservatively without surgical intervention
- Mean operative time of 127.5 minutes with no intraoperative complications demonstrates technical feasibility of isolated reimplantation
- I-LEVUR offers effective alternative to en bloc reimplantation when lower moiety ureter is non-refluxing in duplex system ectopic ureter
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How to cite: GlobalCastMD. Isolated laparoscopic extra-vesical ureteric reimplantation (I-LEVUR) for upper moiety ectopic ureter without lower moiety vesicoureteric reflux. GlobalCastMD Medical Library. 2024-11-01. https://dev.library.globalcastmd.com/article/9371?via_space=staycurrentmd
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