{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T06:04:56Z","timestamp":1784613896946,"version":"3.55.0"},"reference-count":16,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T00:00:00Z","timestamp":1784592000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To investigate and compare the clinical efficacy of pneumovesicoscopic Politano\u2013Leadbetter and Cohen ureteral reimplantation for primary vesicoureteral reflux (VUR) in children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We retrospectively reviewed 179 children with primary VUR (high-risk grade III and grades IV\u2013V) who underwent pneumovesicoscopic ureteral reimplantation at our institution between October 2021 and January 2024. Patients were allocated to the Politano\u2013Leadbetter group (Group P,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200997) or the Cohen group (Group C,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200982), including 120 unilateral and 59 bilateral cases. Perioperative parameters and postoperative complications were compared over a 6\u201330 month follow-up period.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      All procedures were completed pneumovesicoscopically without conversion to open surgery. In unilateral cases, there were no significant between-group differences in operative time (119.85\u2009\u00b1\u200929.13 vs. 116.21\u2009\u00b1\u200922.04 min,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.437), estimated blood loss (6.15\u2009\u00b1\u20090.98 vs. 6.02\u2009\u00b1\u20090.91 mL,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.454), duration of urethral catheterization (4.31\u2009\u00b1\u20090.59 vs. 4.53\u2009\u00b1\u20090.85 days,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.112), length of hospital stay (6.34\u2009\u00b1\u20091.71 vs. 6.42\u2009\u00b1\u20090.93 days,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.745), or complication rate (7.5% vs. 15.1%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.217). Similar findings were observed for bilateral cases (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;gt;\u20090.05). Surgical failure occurred in 2 ureters in Group P and 3 ureters in Group C, the imaging-confirmed anatomical success rate was 98.1% in Group P and 96.3% in Group C.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Pneumovesicoscopic ureteral reimplantation is a safe and effective minimally invasive approach for pediatric VUR in the short term. Although the Politano\u2013Leadbetter technique is technically more demanding, it provides a more physiological ureteral course. Long-term outcomes require further validation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fped.2026.1855283","type":"journal-article","created":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T05:34:44Z","timestamp":1784612084000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Pneumovesicoscopic ureteral reimplantation for pediatric vesicoureteral reflux: Politano-Leadbetter vs. Cohen technique"],"prefix":"10.3389","volume":"14","author":[{"given":"Mingliu","family":"Huang","sequence":"first","affiliation":[{"name":"Department of Urology, Children's Hospital of Soochow University","place":["Suzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ting","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Urology, Children's Hospital of Soochow University","place":["Suzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chao","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Urology, Children's Hospital of Soochow University","place":["Suzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shu","family":"Dai","sequence":"additional","affiliation":[{"name":"Department of Urology, Children's Hospital of Soochow University","place":["Suzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongliang","family":"Xia","sequence":"additional","affiliation":[{"name":"Department of Urology, Children's Hospital of Soochow University","place":["Suzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xu","family":"Cao","sequence":"additional","affiliation":[{"name":"Department of Urology, Children's Hospital of Soochow University","place":["Suzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mingcui","family":"Fu","sequence":"additional","affiliation":[{"name":"Department of Urology, Children's Hospital of Soochow University","place":["Suzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiangming","family":"Yan","sequence":"additional","affiliation":[{"name":"Department of Urology, Children's Hospital of Soochow University","place":["Suzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunli","family":"Bi","sequence":"additional","affiliation":[{"name":"Department of Urology, Children's Hospital of Soochow University","place":["Suzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yun","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Urology, Children's Hospital of Soochow University","place":["Suzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,21]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1038\/s41572-024-00560-8","article-title":"Primary vesicoureteral reflux","volume":"10","author":"Puri","year":"2024","journal-title":"Nat Rev Dis Primers"},{"key":"B2","doi-asserted-by":"publisher","first-page":"723","DOI":"10.2215\/CJN.12581019","article-title":"A primer on congenital anomalies of the kidneys and urinary tracts (CAKUT)","volume":"15","author":"Murugapoopathy","year":"2020","journal-title":"Clin J Am Soc Nephrol"},{"key":"B3","doi-asserted-by":"publisher","first-page":"388","DOI":"10.1016\/j.eururo.2005.11.015","article-title":"Lich-Gregoir reimplantation causes less discomfort than Politano-Leadbetter technique: results of a prospective, randomized, pain scale-oriented study in a pediatric 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