Long-term Follow up Patient with Primary Vesicoureteral Reflux after Ureteral Reimplantation with a New Modified Technique in Ramathibodi Hospital

• Main Authors: Worapat Attawettayanon, Wit Viseshsindh, วรพัฒน์ อัตเวทยานนท์, วิทย์ วิเศษสินธุ์
• Other Authors: Mahidol University. Faculty of Medicine Ramathibodi Hospital. Department of surgery
• Format: Original Article
• Language: English
• Published: 2022
• Subjects: Vesicoureteral reflux; Surgical correction
• Online Access: https://repository.li.mahidol.ac.th/handle/123456789/79638
• Institution: Mahidol University

Purpose: To describe the surgical procedure of Modified Glenn-Anderson Technique, a modified technique of ureteral reimplantation, and report our initial experience. Methods: January 2007 and December 2014, 17 children with primary vesicoureteral reflux (VUR) underwent Modified Glenn-Anderson Technique. All surgical procedures were performed via an open intravesical approach. Postoperative outcome such as urinary tract infection (UTIs), resolved hydronephrosis, operative time and ranged of follow up were analyzed. Results: Seventeen patients treated with Modified Glenn-Anderson Technique, no patient had intraoperative complication. Mean follow-up was 27 months. When follow with ultrasonography, VUR were complete resolved in 11 patients (64.7%) with 18 ureters and partial resolved in 6 patients with 8 ureters. Febrile UTI was developed in 2 of 17 patients (11.7%) after surgical correction. Conclusions: Modified Glenn-Anderson Technique is modified technique of ureteral reimplantation, which recreates the neo-ureteric orifice in the orthotopic position. This technique is safe and feasible for correct primary VUR.