Long-term results of endoscopic treatment in vesicoureteral reflux after kidney transplantation

Response to Re: Vesicoureteral reflux treatment following kidney transplantation potentially prevents graft function deterioration and allows long‐term graft survival

“…It can sometimes be difficult to inject the agents into a steep angulation. Despite 62% clinical success rate, the reasonable success rate of Dx/HA they mentioned showed 36% radiological success rate 5 . As our data suggest, it is important to cure VUR even in asymptomatic recipients.…”

Current management of symptomatic vesicoureteral reflux in pediatric kidney transplantation—A European survey among surgical transplant professionals

“…Compared to the correction of native kidney VUR, surgical treatment of allograft VUR is more challenging due to ureteral scarring and the atypical orifice of the graft ureter, which should inevitably result in a more stringent surgical indication 41 . Of note, although endoscopic treatment has been shown to be effective in some studies, the success rates remain higher with open surgical redo ureteral anastomosis techniques 8,41–46 . In failed endoscopic treatment of VUR, most centers tend to redo UCN, considering that the latter is less successful after previous endoscopic injection 43 .…”

“…11 Compared to the correction 41 Of note, although endoscopic treatment has been shown to be effective in some studies, the success rates remain higher with open surgical redo ureteral anastomosis techniques. 8,[41][42][43][44][45][46] In failed endoscopic treatment of VUR, most centers tend to redo UCN, considering that the latter is less successful after previous endoscopic injection. 43 Imaging after surgical repair of allograft VUR is performed by the majority of centers to detect urinary drainage impairment and postoperative persistent VUR.…”