Usefulness of intraoperative voiding cystourethrogram as an indicator of sucess in the endoscopic treatment of vesicoureteral reflux

Costoya, C Pérez; Farpón, Ángela Gómez; Aparicio, Andrea; Martino, B Pontón; Barcia, A Parada; Muñoz, V Álvarez; Suárez, Carmen Rodríguez

doi:10.54847/cp.2022.03.17

Cited by 1 publication

(4 citation statements)

References 14 publications

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“…In most of the studies found in the international literature on endoscopic treatment of VUR, a predominance of the female gender is reported, which coincides with the results of the present investigation 13,14,15,16,17,18,19,20,21 .…”

Section: Discussionsupporting

confidence: 92%

“…Regarding the laterality of reflux, several authors report a predominance of bilateral VUR in patients undergoing endoscopic treatment. The results of the present investigation correspond with those of these authors 13,14,16,18,19 .Others report a predominance of unilateral VUR 17,23 .…”

Section: Complicationssupporting

confidence: 93%

“…In relation to the age of patients undergoing endoscopic treatment of VUR, a predominance of mean age that ranges between 3 and 6.7 years is generally observed 11,14,15,16,17,19,20,21 . Results Similar results were obtained in this investigation.…”

Section: Discussionmentioning

confidence: 99%

“…Some authors do not include grade V because it is considered a tributary of open surgery 11 . Some authors report a predominance of high grade reflux (III -V) 14 . In other studies, grades II and III predominated 11,17,18 .…”

Section: Complicationsmentioning

confidence: 99%

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Risk Factors Associated With Endoscopic Treatment of Vesicoureteral Reflux in Children

Velázquez-Sarabia,

Sarabia-Alcocer,

López-Gutiérrez

et al. 2024

JHS

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Vesicoureteral reflux (VUR) is the abnormal flow of urine backing up from the bladder through the tubes (ureters) that connect the kidneys to the bladder. Normally, urine flows from the kidneys through the ureters to the bladder. It is not supposed to flow in the opposite direction, back to the kidneys. Aim:Identify risk factors associated with endoscopic treatment of VUR in children. Material and methods: A descriptive, retrospective study was carried out on 263 patients with a diagnosis of VUR who received endoscopic treatment, in Health Institutions of the City of San Francisco de Campeche, Campeche, during the period from January 2020 to December 2023. The variables studied were: age, gender, conditions associated with VUR, degree and laterality of reflux, injection technique, complications, severity and treatment of complications. A review of the medical records and files was carried out. The data were processed using SPSS version 23.0. To summarize the variables, absolute and relative frequencies were used; mean and range were determined for age. Results: Females predominated and ages ranged from 5 to 9 years, the average age was 6.12 years. 52.47% of patients presented bilateral VUR. In total, 401 ureteral meatuses were injected, VUR grades III (34.16%) and IV (31.42%) predominated, 11.40% of the sample presented a complete double excretory system. The most used injection technique was the STING (71.10%). 10.26% presented complications, urinary infection was the most frequent (6.46%) followed by late ureteral obstruction (2.28%). Most complications were resolved with medical treatment. Lower grade complications predominated. Conclusions: Endoscopic treatment of VUR is associated with few complications, the most frequent being minor. Late ureteral obstruction is the most serious complication. Long-term followup of patients is important to avoid irreversible kidney damage caused by sustained ureteral obstruction.

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