Continuous epidural anesthesia after ureteroneocystostomy in XXXX .

@entity1 @entity86 @entity158
We retrospectively reviewed the records of 101 pediatric @entity1 who underwent uncomplicated ureteral reimplantation and were treated with postoperative epidural catheters for @entity158 management. A total of 50 pediatric @entity1 treated without epidural anesthesia was used as the control group. Length of hospital stay, time to first bowel activity, doses of narcotics, incidence of @entity86 and evidence of epidural catheter related morbidities were documented. The costs of postoperative epidural anesthesia versus standard analgesics were compared. There was no significant difference in length of hospital stay or return of bowel function between treatment groups. Total doses of narcotics given during the hospital stay were significantly less for the epidural group (p < 0.05). The @entity1 given epidural anesthesia also had a significant increase in the incidence of @entity86 (p < 0.05) and 25% had catheter related problems that often resulted in early removal of the epidural catheter. The cost of @entity158 management using an epidural catheter was significantly greater than that of the standard narcotic regimen ( 708 versus  14, p < 0.001). Continuous epidural infusion provides satisfactory @entity158 control after ureteroneocystostomy in @entity1 without delaying hospital discharge. This technique of @entity158 management is associated with a significant increase in the incidence of @entity86 and overall cost compared to standard methods of postoperative @entity158 management.
