Endoscopic Treatment of Vesicoureteral Reflux in Children

Schulman, Claude; Simon, Jonathan; Pamart, Didier; Avni, Freddy

doi:10.1016/s0022-5347(17)43467-7

Cited by 89 publications

(29 citation statements)

References 11 publications

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“…It has a success rate of 60-80%, depending on the substance used and the degree of reflux corrected [3]. In some cases multiple injections are needed, but its safety and long-term effectiveness are controversial [4,[12][13][14][15].…”

Section: Discussionmentioning

confidence: 99%

“…The management of secondary reflux in patients is necessary. Most antireflux procedures [1][2][3][4] are to correct primary VUR in children. In patients with neurogenic bladder dysfunction, the associated VUR often occurs with persistent high intra-bladder pressure and may be relieved by clean intermittent catheterization, which is one of the most widely used treatments of the neurogenic bladder to lower bladder pressure and restore grade I and II VUR.…”

Section: Introductionmentioning

confidence: 99%

“…The available procedures [1][2][3][4][6][7][8][9] to correct reflux are not suitable for patients when bladders are enveloped by muscles and sheaths. Gil-Vernet [10] designed a procedure to correct reflux by trigonoplasty with approximation of the ureteral orifices close to the midline, without maneuvers around the bladder.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Trigonoplasty to Treat Secondary Vesicoureteral Reflux in Neurogenic Bladders

Zhao¹,

Zhang²,

Wen-cheng³

2005

Urol Int

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Objectives: The effectiveness of Gil-Vernet’s trigonoplasty, with technical modifications, was studied in treating vesicoureteral reflux (VUR) in neurogenic bladders. Methods: Modified Gil-Vernet’s trigonoplasty, making the transmural ureters advance over the midline and cross each other in the trigone, was applied in patients with neurogenic bladder dysfunction and VUR, diagnosed by voiding cystourethrogram. Most of the patients were sufficiently followed up by cystourethrogram. Results: 26 patients with neurogenic bladder dysfunction were diagnosed as having 43 refluxing units and underwent modified Gil-Vernet’s trigonoplasty. Reflux was grade I in 5 units, grade II in 7, grade III in 5, grade IV in 18, and grade V in 8, with unilateral reflux in 9 patients and bilateral reflux in 17. Surgery was successful in 95.3% of 43 refluxing units. 22 patients were followed 3–6 months after the operation, and the cure rate was 90.9% (no reflux under voiding cystourethrogram). 18 patients were followed up for more than 2 years without recurrence of VUR. Conclusions: Modified Gil-Vernet’s trigonoplasty might be a useful technique in the management of patients with VUR secondary to neurogenic bladder dysfunction.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Trigonoplasty to Treat Secondary Vesicoureteral Reflux in Neurogenic Bladders

Zhao¹,

Zhang²,

Wen-cheng³

2005

Urol Int

View full text Add to dashboard Cite

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“…Follow-up in most reported series has been limited to 1 -2 years [4][5][6] that a control sonogram be obtained immediately after injection. A scan at a later date will enable the sonographer to determine whether there has been a change in the position of the Teflon mass, leakage of material, or bladder-wall thickening at the injection site, which would suggest a chronic inflammatory reaction.…”

Section: Discussionmentioning

confidence: 99%

“…Their various success rates in correcting VUR with one or more injections of Teflon paste range from 75% to 85% [2,[4][5][6][7]. Follow-up is limited in all reports to a maximum of 2 years, with VUR recurring in only a small percentage of cases [2,[4][5][6][7].…”

mentioning

confidence: 99%