{
    "abstract": "Open\u00a0surgical\u00a0reimplantation\u00a0of\u00a0ureters\u00a0is\u00a0a\u00a0highly\u00a0successful\u00a0procedure,\u00a0with\u00a0reported\u00a0correction\u00a0rates\u00a0of\u00a095\u00a0to\u00a099\u00a0percent\u00a0regardless\u00a0of\u00a0the\u00a0severity\u00a0of\u00a0vesicoureteral\u00a0reflux\u00a0(VUR).\u00a0Leadbetter-Politano\u00a0ureteroneocystostomy\u00a0is\u00a0one\u00a0of\u00a0the\u00a0most\u00a0preffered\u00a0technique\u00a0for\u00a0open\u00a0ureteroneocystostomy.\u00a0 The\u00a0authors\u00a0report\u00a0the\u00a0modified\u00a0Politano-Leadbetter\u00a0technique\u00a0with\u00a0extravesical\u00a0mobilization\u00a0and\u00a0transection\u00a0of\u00a0the\u00a0ureter\u00a0at\u00a0the\u00a0level\u00a0of\u00a0ureterovesical\u00a0junction\u00a0and\u00a0intravesical\u00a0reimplantation. Materials\u00a0and\u00a0Methods: Fifty-seven\u00a0children\u00a0with\u00a0unilateral\u00a0VUR,\u00a0underwent\u00a0modified\u00a0Leadbetter-Politano\u00a0ureteral\u00a0reimplantation\u00a0with\u00a0extravesical\u00a0mobilization\u00a0and\u00a0transection\u00a0of\u00a0the\u00a0ureter\u00a0at\u00a0the\u00a0level\u00a0of\u00a0ureterovesical\u00a0junction\u00a0and\u00a0intravesical\u00a0reimplantation.\u00a0Persistence\u00a0of\u00a0VUR\u00a0despite\u00a0endoscopic\u00a0correction,\u00a0breakthrough\u00a0infections,\u00a0complications\u00a0due\u00a0to\u00a0antibiotics,\u00a0progressive\u00a0renal\u00a0scarring,\u00a0reflux\u00a0nephropathy,\u00a0and\u00a0parental\u00a0preference\u00a0were\u00a0indications\u00a0for\u00a0open\u00a0reimplantation.\u00a0Operations\u00a0were\u00a0done\u00a0by\u00a0two\u00a0full-time\u00a0pediatric\u00a0surgeons.\u00a0Operation\u00a0time\u00a0and\u00a0hospital\u00a0stay\u00a0of\u00a0the\u00a0patients,\u00a0reflux\u00a0persistency,\u00a0voiding\u00a0dysfunction\u00a0and\u00a0complications\u00a0were\u00a0recorded.\u00a0 Results: No\u00a0ipsilateral\u00a0VUR\u00a0was\u00a0detected\u00a0postoperatively.\u00a0Mean\u00a0operation\u00a0time\u00a0was\u00a076.54\u00a0min\u00a0(\u00b18.76\u00a0min;\u00a0range,\u00a070-86\u00a0min)\u00a0Mean\u00a0duration\u00a0of\u00a0the\u00a0hospital\u00a0stay\u00a0is\u00a082.31\u00a0h\u00a0(\u00b19.78\u00a0h;\u00a0range,\u00a071-93\u00a0h).\u00a0Postoperative\u00a0gross\u00a0hematuria\u00a0was\u00a0not\u00a0seen\u00a0in\u00a0any\u00a0patients.\u00a0No\u00a0voiding\u00a0dysfunction\u00a0and\u00a0no\u00a0late\u00a0complications\u00a0was\u00a0encountered.\u00a0 Conclusions: Modified\u00a0Leadbetter-Politano\u00a0technique\u00a0is\u00a0a\u00a0good\u00a0option\u00a0to\u00a0treat\u00a0VUR\u00a0with\u00a0success\u00a0rate\u00a0up\u00a0to\u00a0100%\u00a0without\u00a0any\u00a0major\u00a0complicatons\u00a0such\u00a0as\u00a0viscus\u00a0perforation\u00a0and\u00a0ureteral\u00a0obstruction.\u00a0It\u00a0is\u00a0a\u00a0rather\u00a0simple\u00a0technique\u00a0that\u00a0require\u00a0less\u00a0operative\u00a0time.",
    "authors": [
        {
            "affiliation": "University of Medical Sciences, Tepecik Training and Research Hospital, Department of Pediatric Surgery, Gaziler Cad. Yeni\u015fehir, Izmir TURKEY. ozdemirtunc@yahoo.com.",
            "firstname": "Tunc",
            "initials": "T",
            "lastname": "Ozdemir"
        },
        {
            "affiliation": "University of Medical Sciences, Tepecik Training and Research Hospital, Department of Pediatric Surgery, Gaziler Cad. Yeni\u015fehir, Izmir TURKEY. alisayan59@hotmail.com.",
            "firstname": "Ali",
            "initials": "A",
            "lastname": "Sayan"
        },
        {
            "affiliation": "University of Medical Sciences, Tepecik Training and Research Hospital, Department of Pediatric Surgery, Gaziler Cad. Yeni\u015fehir, Izmir TURKEY. gkoyluoglu@gmail.com.",
            "firstname": "Gokhan",
            "initials": "G",
            "lastname": "Koyluoglu"
        }
    ],
    "conclusions": null,
    "copyrights": null,
    "doi": "10.22037/uj.v16i7.5709",
    "journal": "Urology journal",
    "keywords": [],
    "methods": null,
    "publication_date": "2020-09-02",
    "pubmed_id": "32869253",
    "results": null,
    "title": "Modified Leadbetter-Politano Ureteroneocystostomy: A Safer Procedure.",
    "xml": "<Element 'PubmedArticle' at 0x78850662e570>"
}