LICH-GREGOIR VERSUS COHEN REIMPLANTATIONS IN MANAGEMENT OF BILATERAL VESICOUERETRAL REFLUX

Abstract

Purposes and background:
We compare the result of Lich-Gregoir versus Cohen reimplantations in management of primary vesicoureteral reflux (VUR).
Material and Methods:
Thirty child with bilateral primary vesicoureteral reflux (VUR), grade III, IV and V, underwent surgery in AL-KUT general hospital from July 2003 until July 2009, 14 patients with Lich-Gregoir and 16 patient with Cohen reimplantation.
Results:
Three (21%) of 14 patients with Lich-Gregoir end with unilateral failure (recurrence of reflux) and 2 (14%) patients with recurrent urinary tract infection for 4 months with the short hospitalization (average 4 days), while 16 patients with Cohen, one (6%) patient develop unilateral failure , two(12%) patients end with ureterovesical stenosis, three (19%) patients with urine leak for one month, and recurrent urinary tract infection persist in 5 (31%) patients for 6 months, with long hospitalization (average 10 days).
Conclusion:
We conclude that Lich-Gregoir was equal or better than Cohen in treatment of primary vesicoureteral reflux with lower incidence of morbidity and short hospitalization.