Technical challenges of endoscopic treatment for vesicoureteral reflux after Cohen reimplantation

Arroyo, I Carrillo; Carretero, S. Fuentes; Fraile, Andrés Gómez; Valverde, R.; Ojeda, Cristina Tordable; Barbancho, Daniel Cabezalí

doi:10.1016/j.acuroe.2019.07.004

Actas Urológicas Españolas (English Edition)

2019

DOI: 10.1016/j.acuroe.2019.07.004

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Technical challenges of endoscopic treatment for vesicoureteral reflux after Cohen reimplantation

I Carrillo Arroyo

S. Fuentes Carretero

Andrés Gómez Fraile

et al.

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Cited by 3 publications

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Bilateraler Reflux – Kontra intravesikale Techniken

Ebert

2019

Aktuel Urol

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ZusammenfassungIn der Refluxchirurgie dürfen heute auch Operationsentscheidungen individuell getroffen werden. Da nahezu alle offen operativen Implantationstechniken sehr gute und dauerhafte Ergebnisse erreichen und Eltern wenig invasive Verfahren vorziehen, sollte, wenn zur Korrektur eines bilateralen Refluxes intravesikale Techniken eingesetzt werden, deren erhöhte Invasivität gemessen an längeren Operationszeiten, längerer Katheterliegedauer, längerem stationären Aufenthalt und mehr Komplikationen wie Makrohämaturie und Blasentenesmen im Vergleich zu extravesikalen Techniken diskutiert und mit den Eltern besprochen werden.

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Bilateraler Reflux – Kontra intravesikale Techniken

Ebert

2019

Aktuel Urol

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Brazilian consensus on vesicoureteral reflux–recommendations for clinical practice

et al. 2020

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Endoscopic Correction of the Vesicoureteral Reflux After Ureteral Reimplantation in Children

Дубров¹,

Bondarenko

Kagantzov

et al. 2020

Russian Journal of Pediatric Surgery

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Introduction. Vesicoureteral reflux (VUR) is seen in 2 - 60% of patients after ureteral reimplantation. The present study summarizes the experience of several centers where endoscopic correction of the postoperative reflux was done with bulking preparations. Material and methods. A retrospective study including 43 patients (24 boys and 19 girls) with reflux of grade III-IV after various transvesical and extravesical ureteral reimplantations for primary megaureter, reflux, or kidney transplantation was performed. Exclusion criteria were: neurogenic bladder, posterior urethral valve and ureterocele. Patients’ age varied from 9 months to 17 years (average 70.6 months). VUR was unilateral in 40 patients and bilateral in 3 patients: a total number of operated ureters was 46. The interval between ureter reimplantation and endoscopic surgery ranged from 3 months to 8 years (average 18.9 months). Different biodegradable and stable bulking preparations were used in the procedure. Results. VUR was successfully corrected in 19 ureters (41.3%) after a single injection. The repeated procedure was performed in 14 ureters in case of decreased reflux grade after the first injection. In 5 ureters (35.7%), the reflux resolved after the repeated procedure. With the two mentioned injections, the total effectiveness of endoscopic VUR correction was 52.2%. There were no any ureteral obstruction. The only statistically significant factor affecting the effectiveness of treatment was the reflux degree. The effectiveness level for reflux grade III was 68.2% and for reflux grade IV - 37.5%. Conclusion. Endoscopic correction prevents ureter reimplantation in half of patients with a high grade of postoperative vesicoureteral reflux.

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Technical challenges of endoscopic treatment for vesicoureteral reflux after Cohen reimplantation

Cited by 3 publications

References 14 publications

Bilateraler Reflux – Kontra intravesikale Techniken

Bilateraler Reflux – Kontra intravesikale Techniken

Brazilian consensus on vesicoureteral reflux–recommendations for clinical practice

Endoscopic Correction of the Vesicoureteral Reflux After Ureteral Reimplantation in Children

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