URINARY RETENTION AFTER BILATERAL EXTRAVESICAL URETERAL REIMPLANTATION: DOES DISSECTION DISTAL TO THE URETERAL ORIFICE HAVE A ROLE?

Abstract

Each modification of the original Lich-Gregoir technique is highly effective for treating bilateral vesicoureteral reflux and each is associated with a low rate of temporary urinary retention. Although there seems to be a lower incidence of retention with the Y detrusorrhaphy technique, this was not statistically significant. Because of the higher incidence of urinary retention in young children, boys and/or patients with high grade reflux, we recommend that physicians consider a longer period of catheterization regardless of the technique chosen.