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

Abstract

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.