{"id":"https://openalex.org/W7225659702","doi":"https://doi.org/10.3390/children13111543","title":"Surgical and Functional Outcomes of a Novel Modified Combined Ureteroneocystostomy Technique in Children","display_name":"Surgical and Functional Outcomes of a Novel Modified Combined Ureteroneocystostomy Technique in Children","publication_year":2026,"publication_date":"2026-11-08","ids":{"openalex":"https://openalex.org/W7225659702","doi":"https://doi.org/10.3390/children13111543"},"language":"en","primary_location":{"id":"doi:10.3390/children13111543","doi":"https://doi.org/10.3390/children13111543","is_oa":true,"landing_page_url":"https://doi.org/10.3390/children13111543","pdf_url":null,"source":{"id":"https://openalex.org/S2736895435","display_name":"Children","issn_l":"2227-9067","issn":["2227-9067"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","norway-1","poland-40","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Children","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.3390/children13111543","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5101820785","display_name":"Deniz Demirci","orcid":"https://orcid.org/0000-0001-9761-8488","observed_orcids":["https://orcid.org/0000-0001-9761-8488"]},"institutions":[{"id":"https://openalex.org/I87673952","display_name":"Erciyes University","ror":"https://ror.org/047g8vk19","country_code":"TR","type":"education","lineage":["https://openalex.org/I87673952"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Deniz Demirci","raw_affiliation_strings":["Department of Urology, Erciyes University Faculty of Medicine, Kayseri 38039, Turkey"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology, Erciyes University Faculty of Medicine, Kayseri 38039, Turkey","institution_ids":["https://openalex.org/I87673952"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5139795722","display_name":"VUSAL IBRAHIMOV","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Vusal Ibrahimov","raw_affiliation_strings":["Urology, SAF Hospital, Baku AZ1078, Azerbaijan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Urology, SAF Hospital, Baku AZ1078, Azerbaijan","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5082077017","display_name":"Halil Tosun","orcid":"https://orcid.org/0000-0002-0289-869X","observed_orcids":["https://orcid.org/0000-0002-0289-869X"]},"institutions":[{"id":"https://openalex.org/I87673952","display_name":"Erciyes University","ror":"https://ror.org/047g8vk19","country_code":"TR","type":"education","lineage":["https://openalex.org/I87673952"]}],"countries":["TR"],"is_corresponding":true,"raw_author_name":"Halil Tosun","raw_affiliation_strings":["Department of Urology, Erciyes University Faculty of Medicine, Kayseri 38039, Turkey"],"raw_orcid":"https://orcid.org/0000-0002-0289-869X","affiliations":[{"raw_affiliation_string":"Department of Urology, Erciyes University Faculty of Medicine, Kayseri 38039, Turkey","institution_ids":["https://openalex.org/I87673952"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5040951734","display_name":"Numan Baydilli","orcid":"https://orcid.org/0000-0003-1017-3653","observed_orcids":["https://orcid.org/0000-0003-1017-3653"]},"institutions":[{"id":"https://openalex.org/I87673952","display_name":"Erciyes University","ror":"https://ror.org/047g8vk19","country_code":"TR","type":"education","lineage":["https://openalex.org/I87673952"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Numan Baydilli","raw_affiliation_strings":["Department of Urology, Erciyes University Faculty of Medicine, Kayseri 38039, Turkey"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology, Erciyes University Faculty of Medicine, Kayseri 38039, Turkey","institution_ids":["https://openalex.org/I87673952"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5082077017"],"corresponding_institution_ids":["https://openalex.org/I87673952"],"apc_list":{"value":2400,"currency":"CHF","value_usd":2896},"apc_paid":{"value":2400,"currency":"CHF","value_usd":2896},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"13","issue":"11","first_page":"1543","last_page":"1543"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11174","display_name":"Pediatric Urology and Nephrology Studies","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11174","display_name":"Pediatric Urology and Nephrology Studies","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11815","display_name":"Urological Disorders and Treatments","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12634","display_name":"Ureteral procedures and complications","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/vesicoureteral-reflux","display_name":"vesicoureteral reflux","score":0.9860000014305115},{"id":"https://openalex.org/keywords/ureteral-reimplantation","display_name":"ureteral reimplantation","score":0.972000002861023},{"id":"https://openalex.org/keywords/megaureter","display_name":"megaureter","score":0.7360000014305115},{"id":"https://openalex.org/keywords/pediatric-urology","display_name":"pediatric urology","score":0.6859999895095825},{"id":"https://openalex.org/keywords/surgical-success","display_name":"surgical success","score":0.5260000228881836},{"id":"https://openalex.org/keywords/voiding-dysfunction","display_name":"voiding dysfunction","score":0.8180000185966492},{"id":"https://openalex.org/keywords/submucosal-tunnel","display_name":"submucosal tunnel","score":0.781000018119812},{"id":"https://openalex.org/keywords/postoperative-complications","display_name":"postoperative complications","score":0.5799999833106995},{"id":"https://openalex.org/keywords/renal-outcomes","display_name":"renal outcomes","score":0.37700000405311584}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9569000005722046},{"id":"https://openalex.org/C2777312559","wikidata":"https://www.wikidata.org/wiki/Q1547111","display_name":"Megaureter","level":3,"score":0.9344000220298767},{"id":"https://openalex.org/C2777609623","wikidata":"https://www.wikidata.org/wiki/Q1550521","display_name":"Vesicoureteral reflux","level":4,"score":0.8574000000953674},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6877999901771545},{"id":"https://openalex.org/C77411442","wikidata":"https://www.wikidata.org/wiki/Q181100","display_name":"Urinary system","level":2,"score":0.6126000285148621},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.5546000003814697},{"id":"https://openalex.org/C2777907074","wikidata":"https://www.wikidata.org/wiki/Q641152","display_name":"Voiding cystourethrogram","level":5,"score":0.5454000234603882},{"id":"https://openalex.org/C2776664737","wikidata":"https://www.wikidata.org/wiki/Q9385","display_name":"Ureter","level":2,"score":0.4036000072956085},{"id":"https://openalex.org/C2780334110","wikidata":"https://www.wikidata.org/wiki/Q1741922","display_name":"Pediatric urology","level":2,"score":0.38749998807907104},{"id":"https://openalex.org/C2776578667","wikidata":"https://www.wikidata.org/wiki/Q3552514","display_name":"Ureterostomy","level":5,"score":0.3865000009536743},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.38440001010894775},{"id":"https://openalex.org/C2777626661","wikidata":"https://www.wikidata.org/wiki/Q7262963","display_name":"Pyeloplasty","level":4,"score":0.3601999878883362},{"id":"https://openalex.org/C43270747","wikidata":"https://www.wikidata.org/wiki/Q898610","display_name":"Reflux","level":3,"score":0.3553999960422516},{"id":"https://openalex.org/C126894567","wikidata":"https://www.wikidata.org/wiki/Q105650","display_name":"Urology","level":1,"score":0.3352000117301941},{"id":"https://openalex.org/C2780073493","wikidata":"https://www.wikidata.org/wiki/Q7523837","display_name":"Single Center","level":2,"score":0.3255999982357025},{"id":"https://openalex.org/C2781040948","wikidata":"https://www.wikidata.org/wiki/Q730877","display_name":"Hydronephrosis","level":3,"score":0.3221000134944916},{"id":"https://openalex.org/C2776967913","wikidata":"https://www.wikidata.org/wiki/Q782515","display_name":"Ureterocele","level":3,"score":0.3050000071525574},{"id":"https://openalex.org/C2993461684","wikidata":"https://www.wikidata.org/wiki/Q181100","display_name":"Upper urinary tract","level":3,"score":0.2734000086784363},{"id":"https://openalex.org/C3018900477","wikidata":"https://www.wikidata.org/wiki/Q1755504","display_name":"Open surgery","level":2,"score":0.2734000086784363},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.26190000772476196},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.25949999690055847}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.3390/children13111543","doi":"https://doi.org/10.3390/children13111543","is_oa":true,"landing_page_url":"https://doi.org/10.3390/children13111543","pdf_url":null,"source":{"id":"https://openalex.org/S2736895435","display_name":"Children","issn_l":"2227-9067","issn":["2227-9067"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","norway-1","poland-40","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Children","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.3390/children13111543","doi":"https://doi.org/10.3390/children13111543","is_oa":true,"landing_page_url":"https://doi.org/10.3390/children13111543","pdf_url":null,"source":{"id":"https://openalex.org/S2736895435","display_name":"Children","issn_l":"2227-9067","issn":["2227-9067"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","norway-1","poland-40","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Children","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":14,"referenced_works":["https://openalex.org/W2079380766","https://openalex.org/W2122916437","https://openalex.org/W2129530170","https://openalex.org/W2409892535","https://openalex.org/W2439833031","https://openalex.org/W2789576488","https://openalex.org/W2904147463","https://openalex.org/W2943786903","https://openalex.org/W3009581946","https://openalex.org/W3012212892","https://openalex.org/W3152420266","https://openalex.org/W4205805755","https://openalex.org/W4291021048","https://openalex.org/W4408481614"],"related_works":["https://openalex.org/W2033315429","https://openalex.org/W7124454598","https://openalex.org/W7224941444","https://openalex.org/W2763701849","https://openalex.org/W3082883333","https://openalex.org/W7073897918","https://openalex.org/W2168382265","https://openalex.org/W2081418969","https://openalex.org/W2298041409","https://openalex.org/W7168172681"],"abstract_inverted_index":{"Background:":[0],"Surgical":[1],"correction":[2],"remains":[3],"the":[4,63,80,146,187,193,294,303],"gold-standard":[5],"treatment":[6],"for":[7,129,134],"selected":[8,270],"children":[9,265],"with":[10,170,266,309],"high-grade":[11],"vesicoureteral":[12],"reflux":[13,312],"(VUR),":[14],"and":[15,32,43,66,82,122,132,159,192,259,269,299,314,322],"open":[16],"ureteroneocystostomy":[17,58,113,253],"achieves":[18],"long-term":[19],"success":[20,182,200,258],"rates":[21],"exceeding":[22],"90%.":[23],"However,":[24],"established":[25],"reimplantation":[26],"techniques":[27],"may":[28],"have":[29],"specific":[30],"anatomical":[31],"functional":[33,83],"limitations,":[34],"including":[35],"altered":[36],"ureteral":[37,39,290],"trajectory,":[38],"angulation":[40],"or":[41,150,206,234,244],"kinking,":[42],"postoperative":[44,209,231,311],"voiding":[45,232],"dysfunction.":[46],"In":[47],"a":[48,54,70,89,115,171,260,287],"previous":[49],"preliminary":[50],"study,":[51],"we":[52],"described":[53],"modified":[55,64,110,250],"combined":[56,111,251],"intravesical\u2013extravesical":[57,112,252],"technique":[59,87,254],"integrating":[60],"principles":[61],"of":[62,85,148,174,272],"Politano\u2013Leadbetter":[65],"Glenn\u2013Anderson":[67],"procedures":[68],"through":[69],"hiatus-referenced,":[71],"double-level":[72],"submucosal":[73,295],"tunnel":[74,281,296],"configuration.":[75],"The":[76,138,249],"present":[77],"study":[78,97],"evaluates":[79],"surgical":[81,142,181,257],"outcomes":[84],"this":[86],"in":[88,185,213,264],"larger":[90],"pediatric":[91,101],"cohort.":[92],"Methods:":[93],"This":[94],"retrospective":[95],"cohort":[96],"included":[98],"75":[99],"consecutive":[100],"patients,":[102],"corresponding":[103],"to":[104,285,302,319],"118":[105],"renal":[106,215],"units,":[107],"who":[108],"underwent":[109,127],"at":[114],"single":[116],"tertiary":[117],"center":[118],"between":[119],"January":[120],"2020":[121],"August":[123],"2025.":[124],"Sixty":[125],"patients":[126],"surgery":[128],"primary":[130,135,139,188,267,273],"VUR":[131,189,210,268],"15":[133],"obstructive":[136,194,274],"megaureter.":[137],"outcome":[140],"was":[141,167,183,201,211,236],"success,":[143],"defined":[144],"as":[145],"absence":[147],"persistent":[149,230],"recurrent":[151],"reflux,":[152],"clinically":[153,223],"significant":[154,224],"ureterovesical":[155,225],"junction":[156,226],"obstruction,":[157,227],"reoperation,":[158],"febrile":[160,219],"urinary":[161,220,228],"tract":[162,221],"infection.":[163],"Results:":[164],"Minimum":[165],"follow-up":[166,173,316],"12":[168],"months,":[169],"median":[172],"24":[175],"months":[176],"(range,":[177],"12\u201360":[178],"months).":[179],"Patient-based":[180],"93.3%":[184],"both":[186,297],"group":[190,196],"(56/60)":[191],"megaureter":[195,275],"(14/15).":[197],"Renal":[198],"unit-based":[199],"95.8%":[202],"(113/118).":[203],"Persistent,":[204],"recurrent,":[205],"de":[207],"novo":[208],"identified":[212],"five":[214],"units":[216],"(4.2%).":[217],"No":[218,240],"infection,":[222],"retention,":[229],"dysfunction,":[233],"reoperation":[235],"recorded":[237],"during":[238,276],"follow-up.":[239,278],"Clavien\u2013Dindo":[241],"grade":[242],"III":[243],"higher":[245],"complications":[246],"occurred.":[247],"Conclusions:":[248],"demonstrated":[255],"high":[256],"favorable":[261],"safety":[262],"profile":[263],"cases":[271],"intermediate-term":[277],"Its":[279],"hiatus-referenced":[280],"configuration":[282],"is":[283],"intended":[284],"maintain":[286],"more":[288],"physiological":[289],"trajectory":[291],"while":[292],"distributing":[293],"cranially":[298],"caudally":[300],"relative":[301],"original":[304],"hiatus.":[305],"Prospective":[306],"multicenter":[307],"studies":[308],"standardized":[310],"assessment":[313],"longer":[315],"are":[317],"needed":[318],"confirm":[320],"reproducibility":[321],"durability.":[323]},"counts_by_year":[],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2026-11-10T00:00:00"}