Outpatient Surgery for Vesicoureteral Reflux: Endoscopic Injection vs Extravesical Ureteral Reimplantation

2011 ◽  
Vol 186 (5) ◽  
pp. 1764-1765 ◽  
Author(s):  
Andrew J. Kirsch
Keyword(s):  
Vesicoureteral Reflux ◽  
Outpatient Surgery ◽  
Ureteral Reimplantation ◽  
Endoscopic Injection

scholarly journals Surgical Reimplantation for the Correction of Vesicoureteral Reflux following Failed Endoscopic Injection

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Boris Chertin ◽  
Ksenia Prosolovich ◽  
Sagiv Aharon ◽  
Ofer Nativ ◽  
Sarel Halachmi
Keyword(s):  
Success Rate ◽  
Vesicoureteral Reflux ◽  
Endoscopic Treatment ◽  
Endoscopic Procedure ◽  
Ureteral Reimplantation ◽  
Endoscopic Injection ◽  
Stable Function ◽  
Renal Scan

Purpose. In recent years, endoscopic injection became the procedure of choice for the correction of vesicoureteral reflux in the majority of the centers. Unfortunately, endoscopic treatment is not always successful and sometimes requires more than one trial to achieve similar results to that of an open reimplantation surgery. Our aim of this study is to evaluate the feasibility and success rate of open ureteral reimplantation following failed endoscopic procedure.Patients and Methods. During 2004–2010, we evaluated 16 patients with persistent vesicoureteral reflux (grades II–IV) following failed endoscopic treatment. All patients underwent open ureteral reimplantation. All patients were followed with an ultrasound 6 weeks following surgery and every 6 months thereafter for an average of 22 months. Voiding cystography was performed at 3 months after surgery.Results. During unilateral open ureteral reimplantation, the implanted deposit from previous procedures was either excised, drained, or incorporated into the neotunnel with the ureter. Vesicoureteral reflux was resolved in all patients with 100% success rate. No new hydronephrosis or signs of obstruction developed in any of the patients. qDMSA renal scan was available in 8 patients showing improvement of function in 5 and stable function in 3, and no new scars were identified.Conclusions. Open ureteral reimplantation is an excellent choice for the correction of failed endoscopic treatment in children with vesicoureteral reflux.

scholarly journals Treatment of Vesicoureteral Reflux after Puberty

2008 ◽  
Vol 2008 ◽  
pp. 1-5 ◽  
Author(s):  
J. Christopher Austin
Keyword(s):  
Natural History ◽  
Vesicoureteral Reflux ◽  
Ureteral Reimplantation ◽  
Endoscopic Injection ◽  
History Of

Vesicoureteral reflux is uncommonly diagnosed and treated after puberty. The natural history of uncorrected VUR after puberty is not documented. Postpubertal patients with recurrent pyelonephritis and VUR should be considered for treatment. Ureteral reimplantation, endoscopic injections, and laparoscopic or robotic ureteral reimplantation may be utilized. Endoscopic injection is an appealing option for these patients. The role of laparoscopic or robotic ureteral reimplantation in these patients is evolving.

561: Outcome of Ureteral Reimplantation in the Child with Postnatally Detected Vesicoureteral Reflux and Renal Scintigraphic Abnormalities

2004 ◽  
Vol 171 (4S) ◽  
pp. 149-149
Author(s):  
Carlos R. Estrada ◽  
Stuart B. Bauer ◽  
Hiep T. Nguyen ◽  
Carol E. Bamewolt ◽  
Alan B. Retik
Keyword(s):  
Vesicoureteral Reflux ◽  
Ureteral Reimplantation

Brain Injury in a Healthy Child One Year After Periureteral Injection of Teflon

PEDIATRICS ◽  
1996 ◽  
Vol 98 (2) ◽  
pp. 290-291
Author(s):  
Renato Borgatti ◽  
Alberto Tettamanti ◽  
Paolo Piccinelli
Keyword(s):  
Risk Factors ◽  
Brain Injury ◽  
Middle Cerebral Artery ◽  
Vesicoureteral Reflux ◽  
Healthy Child ◽  
Endoscopic Injection ◽  
Middle Cerebral Artery Stroke ◽  
One Year ◽  
Lateral Branches ◽  
The Brain

This report presents the case of a previously healthy 6-year-old girl who had an ischemic injury corresponding to the territory perfused by the lateral branches of the lenticulostriate arteries of the middle cerebral artery. Stroke in childhood is rare, and the specific causes are identified in only half the cases. Our patient was carefully studied for any hereditary or acqired risk Factors for stroke, but we found only one, an endoscopic injection of Teflon performed 1 year before to correct vesicoureteral reflux. This suggests the risk of potential migration of Teflon particles to the brain, here they can block the microcirculation.

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