Endoscopic injection vs anti-reflux surgery for moderate- and high-grade vesicoureteral reflux in children: a cost-effectiveness international study

Even if vesicoureteral reflux is a common condition in children, there are no guidelines about the best therapeutic approach. This study aims to compare the results of endoscopic injection and ureteral reimplantation in children with grade III, IV and V VUR. A multicenter retrospective study include...

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Bibliographic Details
Published in:Journal of robotic surgery 2024-10, Vol.18 (1), p.371, Article 371
Main Authors: Nascimben, F., Molinaro, F., Maffi, M., Nino, F., Lachkar, A., Zislin, M., Ogunleye, M., Becmeur, F., Messina, M., Cobellis, G., Lima, M., Angotti, R., Talon, I.
Format: Article
Language:English
Subjects:
Adolescent
Bladder
Catheters
Child
Child, Preschool
Cost effectiveness
Cost-Benefit Analysis
Costs
Dextrans - administration & dosage
Dextrans - economics
Endoscopy
Endoscopy - economics
Endoscopy - methods
Female
General anesthesia
Hospitals
Human health and pathology
Humans
Hyaluronic Acid - administration & dosage
Hyaluronic Acid - economics
Infant
Injections
Laparoscopy
Laparoscopy - economics
Laparoscopy - methods
Length of Stay
Life Sciences
Male
Medicine
Medicine & Public Health
Minimally Invasive Surgery
Operative Time
Patients
Pediatrics
Radiation
Radiation effects
Replantation - economics
Replantation - methods
Retrospective Studies
Robotic Surgical Procedures - economics
Robotic Surgical Procedures - methods
Robots
Santé publique et épidémiologie
Surgeons
Surgery
Surgical techniques
Treatment Outcome
Ureter - surgery
Urinary tract infections
Urogenital system
Urology
Urology and Nephrology
Vesico-Ureteral Reflux - economics
Vesico-Ureteral Reflux - surgery
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Summary:Even if vesicoureteral reflux is a common condition in children, there are no guidelines about the best therapeutic approach. This study aims to compare the results of endoscopic injection and ureteral reimplantation in children with grade III, IV and V VUR. A multicenter retrospective study included children with grade III, IV and V VUR treated from 2003 to 2018 at three Departments of Pediatric Surgery. Patients were divided into Group A (endoscopic injections) and Group B (anti-reflux surgery), B1 (open, OUR), B2 (laparoscopic, LUR) and B3 (robot-assisted laparoscopic RALUR). Follow-up was at least 5 years. 400 patients were included, 232 (58%) in group A and 168 (42%) in group B. Mean age at surgery was 38.6 months [3.1–218.7]. Mean follow-up was 177.8 months [60–240]. Group A had shorter operative time than group B ( P  
ISSN:1863-2491
1863-2483
1863-2491
DOI:10.1007/s11701-024-02103-5