Long-Term Results of Dexell Endoscopic Treatment of Vesicoureteral Reflux: An Option for the Management of Recurrent Urinary Tract Infection

Jaafar, Sahned; Hussein, Nawfal R

doi:10.17795/iji-35691

“…However, recent data, including this study, have shown that endoscopic corrections for grade V have a higher success rate than open-surgery, with only 3.6% failure rate and 5.4% recurrence rate (26). In a previous study conducted in Iraq, de novo contralateral VUR was found in 3.8% of the patients after operation (27). Additionally, Kirsch et al similarly reported 4.5% occurrence of contralateral VUR after the operation (28).…”

Section: Discussionmentioning

confidence: 50%

The Relationship Between Vesicoureteral Reflux and Recurrent Urinary Tract Infection in Children in Kurdistan Region, Iraq

Salih

¹

,

Yahya

²

,

Hussein

³

2018

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Background: Recurrent urinary tract Infection (UTI) is a common problem in pediatric age group. Vesicoureteral reflux (VUR) is a common cause for recurrent UTI. Objectives: This study was conducted to determine the prevalence of VUR in children who presented with recurrent UTIs and to assess the effect of endoscopic treatment in patients with grade III-V VUR. Methods: This was a prospective study recruiting 1232 patients who presented with recurrent UTI during April 2008 and January 2012. We used voiding cystourethrogram to diagnose VUR, and treated grades III-V VUR by bulking agent. One to 2 sessions were performed and the participants were followed-up postoperatively at first, second, third, and 12th months postoperatively. Results: VUR was found in 437 (35.5%) of the patients. Amongst those, 197 (16%) patients were diagnosed with VUR grade I and II. Additionally, 240 (19.5%) cases were diagnosed with VUR III-V. Two sessions were required to correct the reflux in all patients with grade III. The success rate of correction of grade IV was 79% after the second session. The success rate was 71% in grade V. New contralateral reflux with low grade (I and II) de novo VUR was found in 28/240 (11.7%) cases. After successful correction of VUR, UTI occurred in 12/203 (5.9%) of the patients. Conclusions: VUR was common in children with recurrent UTI with a good prognosis after endoscopic correction. Further study is needed to follow-up the participants who did not respond to treatment.

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“…However, recent data, including this study, have shown that endoscopic corrections for grade V have a higher success rate than open-surgery, with only 3.6% failure rate and 5.4% recurrence rate (26). In a previous study conducted in Iraq, de novo contralateral VUR was found in 3.8% of the patients after operation (27). Additionally, Kirsch et al similarly reported 4.5% occurrence of contralateral VUR after the operation (28).…”

Section: Discussionmentioning

confidence: 59%

“…VUR was common in our study, and after correcting it, UTI occurred in 5.9% of the recruited participants. In a previous study conducted in Iraq and after successful correction of VUR, recurrent UTI was eliminated in all participants (27). Thus, screening for VUR should be offered to all patients presenting with recurrent UTI.…”

Section: Discussionmentioning

confidence: 98%

Effects of Methanol Extract of Green Tea on Biofilm Formation of Staphylococcus aureus

Jahani

¹

,

Bazi

²

,

Shahi

³

et al. 2016

Int J Infect

0

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Background: Recurrent urinary tract Infection (UTI) is a common problem in pediatric age group. Vesicoureteral reflux (VUR) is a common cause for recurrent UTI. Objectives: This study was conducted to determine the prevalence of VUR in children who presented with recurrent UTIs and to assess the effect of endoscopic treatment in patients with grade III-V VUR. Methods: This was a prospective study recruiting 1232 patients who presented with recurrent UTI during April 2008 and January 2012. We used voiding cystourethrogram to diagnose VUR, and treated grades III-V VUR by bulking agent. One to 2 sessions were performed and the participants were followed-up postoperatively at first, second, third, and 12th months postoperatively. Results: VUR was found in 437 (35.5%) of the patients. Amongst those, 197 (16%) patients were diagnosed with VUR grade I and II. Additionally, 240 (19.5%) cases were diagnosed with VUR III-V. Two sessions were required to correct the reflux in all patients with grade III. The success rate of correction of grade IV was 79% after the second session. The success rate was 71% in grade V. New contralateral reflux with low grade (I and II) de novo VUR was found in 28/240 (11.7%) cases. After successful correction of VUR, UTI occurred in 12/203 (5.9%) of the patients. Conclusions: VUR was common in children with recurrent UTI with a good prognosis after endoscopic correction. Further study is needed to follow-up the participants who did not respond to treatment.

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“…Approximately, %50 of women will develop UTIs once in their life time and between 20% to 40% of them experience recurrent episodes of UTIs, Whilst 20% of UTI cases are men [8]. Treatment of UTIs varies according to age , sex , underlying disease , infective organism and involvement of upper or lower urinary tract [9,10].…”

Section: Introductionmentioning

confidence: 99%

Antimicrobial Resistance Rates in Gram-positive Uropathogens in Duhok city, Kurdistan Region of Iraq

Mohamed

¹

2023

Preprint

0

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BackgroundUrinary tract infections (UTIs) are among the most common infections world-wide. Antibiotic resistance is an important medical problem because there is an increasing trend of antibiotic resistance worldwide making it harder to eliminate uropathogens. Antibiotic resistance shows a geographical variation. Hence, local studies are necessary to determine prevalence of uroptahogens among UTI patients. Thus, this study was conducted to determine prevalence of uropathogens among UTI patients and their antimicrobial susceptibility pattern from the data of 12 years period from 2010 to 2022 in Duhok Province, Kurdistan Region, IraqMaterials and methodsThis study was conducted by retrieving 12-year laboratory records between 2010–2022. data were collected from Azadi teaching hospital in Duhok city in Kurdistan region in northern Iraq. uropathogen species were identified by routine laboratory methods. Antimicrobial sensitivity testing was performed manually and by Vitek-2 automated susceptibility system.ResultsThe results of gram-positive urine pathogens of 249 patients showed Staphylococcus haemolyticus (20.9%) was the most common isolated pathogen, followed by staphylococcus aureus (7.6%), Streptococcus Agalactiae (6.4%) and Enterococcus spp. (6%). S. haemolyticus had highest resistance to nitrofurantoin (61.5%) and lowest amikacin (34.3%). S. aureus showed highest resistance to penicillin 73.3% and highest sensitivity to amikacin (78.9%).in our study, Streptococcus agalactiae had the highest sensitivity to vancomycin (%87.5). 93.3% of enterococcus spp. were resistant to tetracycline.ConclusionUTIs are more common in female than in male and coagulase-negative Staph species (Staphylococcus spp) are the most commonly isolated pathogens. This study found antimicrobial resistance to commonly prescribed antibiotics are high. Hence, an urgent plan to control antimicrobial resistance is necessary in our area.

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Long-Term Results of Dexell Endoscopic Treatment of Vesicoureteral Reflux: An Option for the Management of Recurrent Urinary Tract Infection

Cited by 5 publications

References 42 publications

The Relationship Between Vesicoureteral Reflux and Recurrent Urinary Tract Infection in Children in Kurdistan Region, Iraq

The Relationship Between Vesicoureteral Reflux and Recurrent Urinary Tract Infection in Children in Kurdistan Region, Iraq

Effects of Methanol Extract of Green Tea on Biofilm Formation of Staphylococcus aureus

Antimicrobial Resistance Rates in Gram-positive Uropathogens in Duhok city, Kurdistan Region of Iraq

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