Pneumovesicoscopic ureteral reimplantation for pediatric vesicoureteral reflux: Politano-Leadbetter vs. Cohen technique - Takeaways - MDSpire

Comparative Analysis of Pneumovesicoscopic Ureteral Reimplantation Techniques in Pediatric Vesicoureteral Reflux: Politano-Leadbetter Versus Cohen Approaches

  • By

  • Mingliu Huang

  • Ting Zhang

  • Chao Wang

  • Shu Dai

  • Hongliang Xia

  • Xu Cao

  • Mingcui Fu

  • Xiangming Yan

  • Yunli Bi

  • Yun Zhou

  • July 21, 2026

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  • 1

    The study compared the efficacy of pneumovesicoscopic Politano–Leadbetter and Cohen ureteral reimplantation techniques for pediatric vesicoureteral reflux.

  • 2

    A total of 179 children with primary vesicoureteral reflux underwent the procedures, with 97 in the Politano–Leadbetter group and 82 in the Cohen group.

  • 3

    No significant differences were found in operative time, blood loss, catheterization duration, hospital stay, or complication rates between the two techniques.

  • 4

    The anatomical success rate was 98.1% for the Politano–Leadbetter technique and 96.3% for the Cohen technique, with a low rate of surgical failure.

  • 5

    Pneumovesicoscopic ureteral reimplantation is presented as a safe and effective minimally invasive approach for pediatric patients with high-grade reflux.

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