Long-Term follow-up of Trigonoplasty Antireflux Operation

Sharifiaghdas, Farzaneh; Mahmoudnejad, Nastaran; Kashi, Amir Hossein; Ramezani, Mehdi; Narouie, Behzad

doi:10.5301/uro.5000212

Cited by 1 publication

(1 citation statement)

References 21 publications

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“…We had no complications such as mentioned one or ureteral obstruction; however, just in one case, we observed bladder dehiscence. Applying this modified technique resulted in high success rate, compatible with Gil-Vernet report [ 16 ]; however, Sharifiaghdas et al have recently reported the lower success rate with long-term follow-up by trigonoplasty [ 17 ]. This technique is simple, safe, and least invasive.…”

Section: Discussionsupporting

confidence: 74%

The Modified Gil-Vernet Antireflux Surgery: A Successful Technique for High-Grade Vesicoureteral Reflux Correction in Children—Long-Term Follow-Up

Moradi

Seyedzadeh

Gharakhloo

et al. 2018

Advances in Urology

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Introduction Vesicoureteral reflux (VUR) is a common urologic anomaly in children. Many techniques have been offered to manage this condition, in which one of them is modified Gil-Vernet antireflux surgery. The study fullfiled to evaluate the efficacy and safety of modified Gil-Vernet antireflux surgery in correction of high-grade VUR. Materials and Methods A retrospective study in which we evaluated efficacy, safety, and complications of modified Gil-Vernet antireflux surgery as a choice procedure for high-grade reflux in all patients who underwent it since 2000 to 2016 at 2 hospitals of Kermanshah University of medical sciences that all of them were done by one surgeon. Results 183 patients with 290 high-grade refluxing units (grade IV or V) were reviewed. 182 refluxing units were grade IV, and 108 units were grade V. There were 76 (41.54%) patients with unilateral and 107 (58.46%) patients with bilateral VUR. Reflux in high-grade group corrected completely in 278 (95.86%) refluxing units and 175 patients (95.62%). Conclusions Our results are remarkable and compatible with other techniques' results. This simple and safe technique can correct bilateral VURs simultaneously; thus, it is rational to be considered for high-grade VUR correction. According to our results, we suggest the modified Gil-Vernet antireflux procedure for high-grade VUR correction as a simple, safe, and successful technique. This trial is registered with 67145/86/1233.

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Section: Discussionsupporting

confidence: 74%