WOFAPS 2025 8th World Congress of Pediatric Surgery

Beytullah Yağız, Berat Dilek Demirel

Ondokuz Mayıs University, Faculty of Medicine, Department of Pediatric Surgery, Samsun, Turkey

Although Glenn-Anderson reimplantation is a well-known technique for correction of ureterovesical junction anomalies, it’s not the most popular one. The major reason is that every patient are not good candidates for it. Here we present our limited experience with pneumovesicoscopic Glenn-Anderson technique.

A total of 24 patients (36 ureters) are enrolled in the study (12 boys and 12 girls) with 12 unilateral and 12 bilateral ureters. Mean age of the patients was 73,208 ± 9,284 years. Mean duration of surgery was 120 ± 8,039 minutes in unilateral cases and 171,416 ± 5,571 minutes in bilateral cases. Original technique was performed in 21 ureters while a combination with Politano-Leadbetter technique was performed in the rest 15. Indications of surgery were vesicoureteral reflux (n=15), megaureter (n=6), and bladder diverticulum (n=3). One patient needed a redo reimplantation for residual VUR and procedure was regarded successfull in %95,833 of patients (1/24 patient) and %97,222 of ureters (1/36 ureters) within a median follow up duration of 17 months (3-50).

Distal tunnel advancement technique described by Glenn and Anderson is an anatomical and relatively less demanding technique with lower complication rates. Major disadvantage is the limited length of the submucosal tunnel which makes the patient selection critical. Cranially located ureters, conditions that don’t require long tunnel and combination with Politano-Leadbetter technique may serve as proper indications. Pneumovesicoscopy may provide additional benefits of better tissue exposure, magnification, lesser tissue trauma and pain