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 Endoscopic Treatment of Vesicoureteral Reflux with Dextranomer/Hyaluronic Acid in Children

2008 ◽  
Vol 2008 ◽  
pp. 1-7 ◽  
Author(s):  
Wolfgang H. Cerwinka ◽  
Hal C. Scherz ◽  
Andrew J. Kirsch
Keyword(s):  
Hyaluronic Acid ◽  
Vesicoureteral Reflux ◽  
Endoscopic Treatment ◽  
Outcome Data ◽  
Implantation Technique ◽  
Success Rates ◽  
Endoscopic Injection ◽  
Acid Copolymer ◽  
Endoscopic Method ◽  
First Choice

Purpose. The goal of this review is to present current indications, injectable agents, techniques, success rates, complications, and potential future applications of endoscopic treatment for vesicoureteral reflux (VUR) in children.Materials and Methods. The endoscopic method currently achieving one of the highest success rates is the double hydrodistention-implantation technique (HIT). This method employs dextranomer/hyaluronic acid copolymer, which has been used in pediatric urology for over 10 years and may be at present the first choice injectable agent due to its safety and efficacy.Results. While most contemporary series report cure rates of greater than 85% for primary VUR, success rates of complicated cases of VUR may be, depending on the case, significantly lower. Endoscopic treatment offers major advantages to patients while avoiding potentially complicated open surgery. As the HIT method continues to be applied to complex cases of VUR and more outcome data become available, the indication for endoscopic treatment may exceed the scope of primary VUR.Conclusions. Endoscopic injection is emerging as the treatment of choice for VUR in children.

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.

scholarly journals The influence of ureteral orifice configuration on the success rate of endoscopic treatment of vesicoureteral reflux

2013 ◽  
Vol 2 (1) ◽  
pp. 1 ◽  
Author(s):  
Farhad Tadayon ◽  
Mahtab Zargham ◽  
Farshid Alizadeh ◽  
Hamidreza Arezegar ◽  
RasoulHashemi Joozdani ◽  
...  
Keyword(s):  
Success Rate ◽  
Vesicoureteral Reflux ◽  
Endoscopic Treatment ◽  
Ureteral Orifice
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