ABSTRACT
The article presents a morphological study of UVJ removed during surgery in 110 children with stage III hydronephrosis. Morphological changes in resected UVJs indicate a predominance of sclerotic transformation accompanied by different types of dysplasia.
Subject(s)
Hydronephrosis/surgery , Ureter/abnormalities , Ureteral Obstruction/surgery , Urinary Bladder/abnormalities , Female , Humans , Hydronephrosis/congenital , Hydronephrosis/diagnosis , Hydronephrosis/etiology , Infant , Infant, Newborn , Male , Severity of Illness Index , Tomography, X-Ray Computed , Ureter/surgery , Ureteral Obstruction/congenital , Ureteral Obstruction/diagnosis , Ureteral Obstruction/etiology , Urinary Bladder/surgery , Urodynamics , UrographyABSTRACT
The one of the most common defects of the ureter-vesical segment in children is the condition, leading to a disorder of obturative function of this segment. Complications of vesicoureteral reflux include continuously recurrent pyelonephritis, reflux nephropathy. In this regard, the choice of the optimal treatment strategy based on minimal invasion is considered as one of the priorities of pediatric urology. The article presents the data obtained during the treatment of VUR in children of different ages in the Clinic of Reproductive Health FSBSI SCCH. A comparative evaluation of the results of endoscopic correction of vesicoureteral reflux depending on the kind of the bulking agent was performed. It was found that the use of endocorrection of reflux is highly effective surgical procedure, with the high number of positive results against the background of use of bulking agent "vantris". The study discriminates a group of patients with vesicoureteral reflux, intractable for endoscopic correction with cystoscopically normal structure of the orifices that allows to refer this method to the initial stage of treatment of the disease.