Is a third endoscopic treatment for vesicoureteral reflux indicated if previous attempts have failed?
J Pediatr Urol
; 7(6): 650-3, 2011 Dec.
Article
em En
| MEDLINE
| ID: mdl-21435952
ABSTRACT
OBJECTIVE:
To evaluate the efficacy of a third endoscopic injection to correct vesicoureteral reflux (VUR). PATIENTS ANDMETHODS:
This was a prospective study of 605 patients, of whom 42 (6.4%), involving 44 (4%) ureteral units, received a third injection. The results were analysed regarding VUR grade and aetiology, substance used, volume, location and morphology of the mound, presence of poor prognostic factors, the urologist's experience, and complications.RESULTS:
The treatment resolved the VUR in 38 (86.4%) units, 22 of primary cause (91.6%) and 16 with anatomical/functional abnormalities (80%) (no significant difference; P = 0.26). There was also no significant difference in success rate with regard to the substance injected (P = 0.23), the degree of VUR (P = 0.76) or the volume injected (P = 0.17). The success rate was higher (96.9%) if a less experienced urologist had performed the previous procedure versus a more experienced urologist (54.5%), and this difference was significant (P < 0.005). There was one complication (haematuria) (2.3%).CONCLUSION:
Third treatment presents a similar efficacy to first and second treatments, with a very low rate of complications, and could be indicated before open surgery.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Próteses e Implantes
/
Refluxo Vesicoureteral
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Endoscopia
/
Injeções
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Child
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Child, preschool
/
Female
/
Humans
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Infant
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Male
Idioma:
En
Revista:
J Pediatr Urol
Ano de publicação:
2011
Tipo de documento:
Article
País de afiliação:
Espanha