Skip to main content Skip to main navigation menu Skip to site footer

Development of ureteroneocystostomy in pediatric population: ten years of experience from Cipto Mangunkusumo National Referral Hospital, Jakarta, Indonesia


Background: Ureteroneocystostomy is one of the most common surgery in pediatric urology. The procedure can be performed either laparoscopically or in open surgery fashion. Currently, there is limited data available regarding the outcome of pediatric ureteroneocystostomy in Indonesia. The aim of this study is to evaluate the efficacy and safety of pediatric ureteroneocystostomy in both laparoscopic and open surgery techniques in one of the largest referral hospitals in Indonesia.

Methods: This is a retrospective study in which all patients with age of 18 or below underwent ureteroneocystostomy in Cipto Mangunkusumo general hospital was included in ten years period. The outcome analyzed was the patients' demographic profile, procedure duration, blood loss, and length of stay of the patients.

Results: A total of 46 patients underwent ureteroneocystostomy from year 2010 to 2020 with 38 patients underwent open surgery and 8 patients underwent laparoscopic surgery. The median age of the patients was 5 years old, which predominantly female (60.9%). The most common urology condition was vesicoureteral reflux and ectopic ureter at 34.8%. The median procedure duration was significantly shorter in the open surgery than laparoscopic group (180 and 325 minutes, respectively; p=0.002). There was no significant difference in blood loss and length of stay between two groups.

Conclusion: The preferred ureteroneocystostomy technique used was open surgery, with the most common etiology of the patients underwent the procedures were vesicoureteral reflux and ectopic ureter. In addition, the open surgery approach also leads to a shorter procedure duration than laparoscopy.



  1. Warden JG, Higgins CC. Reimplantation of the ureter into the bladder. Cleveland Clinica quarterly. 1949;16(1):38-46
  2. Khoury AE, Baghli DJ.Chapter 137: Vesicoureteral reflux. In:Campbell-Walsh Urology, Eleventh Edition. 11 ed. Philadelphia: Elsevier; 2016; p3134-3172
  3. Pope, JC. Chapter 33: Ureteroneocystotomy. In: Hinman’s Atlas of Urologic Surgery. Fourth Edition. Elsevier: Philadelpia. 2018; p275-290
  4. Dewan PA. Ureteric reimplantation: histoty of the development of techniques. BJUI. 2001;85(8):1000-1006
  5. Bustangi N, Kallas Chemaly A, Scalabre A, et al. Extravesical Ureteral Reimplantation Following Lich-Gregoir Technique for the Correction of Vesico-Ureteral Reflux Retrospective Comparative Study Open vs. Laparoscopy. Front. Pediatr. 2018. 6:388.
  6. Kim KD. Current surgical management of vesicoureteral reflux. KJU. 2013; 54(11):732
  7. El imam Mohhamed M, Omram M, Nugud F, El Hassan M, Taha O. Evaluation of ureteral reimplantation in 65 Sudanese patients. Saudi J Kidney Dis Transpl. 2005;16:166-70
  8. Tekgul S, Riedmiller H, Hoebeke P, et al. EAU Guidelines on Vesicoureteral Reflux in Children. Eur Urol. 2012;62:534-542
  9. Ring E, Petritsch P, Riccabona M, et al. Primary vesicoureteral reflux in infants with a dilated fetal urinary tract. Eur J Pediatr 1993;152:523–5.
  10. Das K, Abraham GP, Ramaswami K, Datson George P, Abraham JJ, Thachill T, Thampan OS. Laparoscopic Lich Gregoir Extravesical Ureteric Reimplantation for Correction of High Grade Vesicoureteric Reflux- Short, Intermediate and Long Term Outcomes with Literature Review. Clin Surg. 2017; 2: 1456
  11. Farina A, Esposito C, Escolino M, Lopez M, Settimi A, Varlet F. Laparoscopic extravesical ureteral reimplantation (LEVUR): a systematic review. Transl Pediatr 2016;5(4):291-294
  12. Chen HW, Yuan SSF, Lin CJ. Ureteral reimplantation for Vesicoureteral Reflux: Comparison of Minimally Invasive Extravesical with Transvesical and Conventional Extravesical Techniques. Urology. 2004;63(2):364-7.
  13. Moreno-Alarcón C, López-Cubillana P, López-González PÃ, et al. Lich-Gregoir technique and routine use of double J catheter as the best combination to avoid urinary complications in kidney transplantation. Transplant Proc. 2014 Jan-Feb;46(1):167-9
  14. Bayne AP, Shoss JM, Starke NR, Cisek LJ. Single-center experience with pediatric laparoscopic extravesical reimplantation: safe and effective in simple and complex anatomy. J Laparoendosc Adv Surg Tech A 2012;22:102-6
  15. Nourizadeh D, Houshagi A, Goldust M. Lich-gregoir Procedure in Treatment of the Vesicoureteral Reflux. Pakistan Journal of Biological Science. 2013;16:426-430.
  16. Berger C, Koen M, Becker T, Mitter K, Riccabona M. The role of the Lich-Gregoir procedure in refluxing duplicated collecting systems: Experience from long-term follow up of 45 children. J Pediatr Urol. 2008;4:265-269.
  17. Yegappan L, Leo CTF. Laparoscopic Extravesicular Ureteral Reimplantation for Vesicoureteral Reflux: Recent Technical Advances. J Endourology. 2000;14(7):589-94.

How to Cite

Abdullah, R. R., & Wahyudi, I. (2021). Development of ureteroneocystostomy in pediatric population: ten years of experience from Cipto Mangunkusumo National Referral Hospital, Jakarta, Indonesia. Indonesia Journal of Biomedical Science, 15(1), 51–55.




Search Panel

Rainier Ramanter Abdullah
Google Scholar
IJBS Journal

Irfan Wahyudi
Google Scholar
IJBS Journal