From laparoscopic to robot-assisted extravesical ureteral reimplantation: evolution of a new standard treatment for pediatric vesicoureteral reflux

REVUR is technically easier, faster and provides better ergonomics compared to LEVUR. The postoperative outcomes are excellent in both techniques, with success rates higher than 95%. Complications developed after bilateral reimplantation in patients who had previous history of bladder dysfunction. Given the robot availability, we believe that the best indication for LEVUR remains unilateral reflux without need for ureteral tapering. In unilateral refluxing megaureter, para-ureteral diverticulum or bilateral cases, REVUR represents the best choice.

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Publication Details

Journal
Minerva Urology and Nephrology
Published
2025-04-23
DOI
https://doi.org/10.23736/s2724-6051.25.06127-0
Primary Topic
Pediatric Urology and Nephrology Studies
Type
article
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article

From laparoscopic to robot-assisted extravesical ureteral reimplantation: evolution of a new standard treatment for pediatric vesicoureteral reflux

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Minerva Urology and Nephrology
Pediatric Urology and Nephrology Studies
article

From laparoscopic to robot-assisted extravesical ureteral reimplantation: evolution of a new standard treatment for pediatric vesicoureteral reflux

Ciro Esposito, Marco Castagnetti, Claudia Di Mento, Annalisa Chiodi, Maria Escolino, Fulvia Del Conte, Francesco Tedesco, Mariapina Cerulo, Vincenzo Coppola, Lorenzo Masieri, Leonardo Continisio, Giorgia Esposito, Marco Chiarenza
article en

Abstract

REVUR is technically easier, faster and provides better ergonomics compared to LEVUR. The postoperative outcomes are excellent in both techniques, with success rates higher than 95%. Complications developed after bilateral reimplantation in patients who had previous history of bladder dysfunction. Given the robot availability, we believe that the best indication for LEVUR remains unilateral reflux without need for ureteral tapering. In unilateral refluxing megaureter, para-ureteral diverticulum or bilateral cases, REVUR represents the best choice.

Minerva Urology and NephrologyVol. 77(6)
Federico II University Hospital (IT), Bambino Gesù Children's Hospital (IT), CEINGE Biotecnologie Avanzate Franco Salvatore (Italy) (IT)
Openalex Percentile: Top 89%
Pediatric Urology and Nephrology Studies
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