February 14Feb 14 quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth -"The success rates of the P-L and the Cohen (transtrigonal) techniques are similar. The advantage of the P-L is that the ureter is much easier to catheterize for retrograde pyelography and ureteral endoscopy because the ureteral opening of the Cohen is on the opposite side of the bladder. The disadvantage is that in creating the new ureteral hiatus, there is a blind spot behind the bladder, and a peritoneotomy or even bowel injury may occur, particularly in reoperative cases."
February 14Feb 14 Author quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth -"The late sequelae of ureteroneocystostomy continue to be studied. A disadvantage of the transtrigonal technique is that subsequent endoscopic ureteral manipulation is difficult if an upper tract ureteral calculus occurs, whereas the ureteral orifice is in normal position with the detrusorrhaphy and Politano-Leadbetter techniques"
Join the conversation
You can post now and register later. If you have an account, sign in now to post with your account.