Salvage Dextranomer-Hyaluronic Acid Copolymer for Persistent Reflux After Ureteral Reimplantation: Early Success Rates

Bar-Yosef, Yuval; Castellán, Miguel; Joshi, Devandra; Labbie, Andrew; Gosálbez, Rafael

doi:10.1016/j.juro.2011.01.014

Cited by 10 publications

(4 citation statements)

References 18 publications

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“…Several groups have suggested endoscopic management since it avoids the challenges of re-operative reimplantation. 10–12 Reported success rates for a single dextranomer/hyaluronic acid (DHA) injection for persistent VUR following reimplantation range from 70–83%. 10–12 Lower DHA success rates have been reported in patients with an initial diagnosis other than primary VUR, in those with persistent voiding dysfunction prior to injection and following tapered reimplantation.…”

Section: Discussionmentioning

confidence: 99%

“…10–12 Reported success rates for a single dextranomer/hyaluronic acid (DHA) injection for persistent VUR following reimplantation range from 70–83%. 10–12 Lower DHA success rates have been reported in patients with an initial diagnosis other than primary VUR, in those with persistent voiding dysfunction prior to injection and following tapered reimplantation. 10–11 Various hypotheses have been suggested to explain why persistent VUR occurs following reimplantation.…”

Section: Discussionmentioning

confidence: 99%

“…10–12 Lower DHA success rates have been reported in patients with an initial diagnosis other than primary VUR, in those with persistent voiding dysfunction prior to injection and following tapered reimplantation. 10–11 Various hypotheses have been suggested to explain why persistent VUR occurs following reimplantation. 13 It may be secondary to technical issues exacerbated by postoperative edema and/or infection.…”

Section: Discussionmentioning

confidence: 99%

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Clinical Outcomes and Long-Term Resolution in Patients with Persistent Vesicoureteral Reflux After Open Ureteral Reimplantation

Hubert¹,

Kokorowski²,

Huang

et al. 2012

Journal of Urology

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Purpose-Success rates of ureteral reimplantation for primary vesicoureteral reflux (VUR) are high. Few studies document the natural history of children with persistent VUR. We reviewed their clinical outcomes and long-term resolution.Materials and Methods-We performed a retrospective review of all children with persistent VUR (grade≥1) into the reimplanted ureter(s) on initial cystogram after reimplantation for primary VUR at our institution from January 1990 -December 2002. We evaluated subsequent cystograms (graded on the 3-point radionuclide cystogram scale), surgery, and urinary tract infection (UTI). We performed survival analyses of time to resolution of persistent (grade≥1) and clinically significant (grade≥2) VUR in patients with >1 postoperative cystogram.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Clinical Outcomes and Long-Term Resolution in Patients with Persistent Vesicoureteral Reflux After Open Ureteral Reimplantation

Hubert¹,

Kokorowski²,

Huang

et al. 2012

Journal of Urology

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“…Because of these properties, glycosaminoglycans are currently used under various conditions to rehydrate the skin (Gold 2007; Beasley et al 2009; Redbord et al 2011). New suggestions come for the treatment of the vesicoureteral reflux with glycosaminoglycans (Molitierno et al 2008; Bar-Yosef et al 2011) or fecal incontinence (Graf et al 2011).…”

Section: Discussionmentioning

confidence: 99%

Plastering the Head with Crushed Snails to Treat Pediatric Hydrocephalus

Missori

Currà

2011

Neuroscientist

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In the Middle Ages, medical therapy for pediatric hydrocephalus was characterized by the application of drying substances to decrease the size of the heads of affected children. A poultice of crushed snails applied to the head was considered to be one of the most powerful therapies for reducing swelling caused by excessive humors. Incunabula (texts printed in Europe before 1501 CE) and Renaissance texts document the extended use of this therapy, which was considered by physicians to be effective and less dangerous than surgical treatment.

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Factors that impact the outcome of endoscopic correction of vesicoureteral reflux: a multivariate analysis

2012

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Salvage Dextranomer-Hyaluronic Acid Copolymer for Persistent Reflux After Ureteral Reimplantation: Early Success Rates

Abstract: Dextranomer-hyaluronic acid copolymer injection is an efficacious salvage procedure for persistent reflux after ureteral reimplantation. The success rate is inferior for ureteral abnormalities other than primary vesicoureteral reflux and after tapering.

Cited by 10 publications

References 18 publications

Clinical Outcomes and Long-Term Resolution in Patients with Persistent Vesicoureteral Reflux After Open Ureteral Reimplantation

Clinical Outcomes and Long-Term Resolution in Patients with Persistent Vesicoureteral Reflux After Open Ureteral Reimplantation

Plastering the Head with Crushed Snails to Treat Pediatric Hydrocephalus

Factors that impact the outcome of endoscopic correction of vesicoureteral reflux: a multivariate analysis

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