Abstract
Vesicoureteral reflux (VUR) is one of the significant risk factors for acute pyelonephritis in children. Endoscopic treatment has become the first-line treatment for VUR at many centers because it is technically easy and can be performed as an outpatient procedure. General anesthesia is recommended for children and may require repeat treatments, particularly if VUR is high grade. Our technique for the endoscopic treatment of VUR in infants and children is described.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Kirsch AJ, Arlen AM, Lackgren G. Current trends in dextranomer hyaluronic acid copolymer (Deflux) injection technique for endoscopic treatment of vesicoureteral reflux. Urology. 2014;84(2):462–8.
Skoog SJ, Peters CA, Arant BS Jr, Copp HL, Elder JS, Hudson RG, et al. Pediatric vesicoureteral reflux guidelines panel summary report: clinical practice guidelines for screening siblings of children with vesicoureteral reflux and neonates/infants with prenatal hydronephrosis. J Urol. 2010;184(3):1145–51.
Peters CA, Skoog SJ, Arant BS Jr, Copp HL, Elder JS, Hudson RG, et al. Summary of the AUA guideline on management of primary vesicoureteral reflux in children. J Urol. 2010;184(3):1134–44.
O’Donnell B, Puri P. Treatment of vesicoureteric reflux by endoscopic injection of Teflon. 1984. J Urol. 2002;167(4):1808–9. discussion 10
Kirsch AJ, Perez-Brayfield M, Smith EA, Scherz HC. The modified sting procedure to correct vesicoureteral reflux: improved results with submucosal implantation within the intramural ureter. J Urol. 2004;171(6 Pt 1):2413–6.
Cerwinka WH, Scherz HC, Kirsch AJ. Dynamic hydrodistention classification of the ureter and the double hit method to correct vesicoureteral reflux. Arch Esp Urol. 2008;61(8):882–7.
Puri P, Pirker M, Mohanan N, Dawrant M, Dass L, Colhoun E. Subureteral dextranomer/hyaluronic acid injection as first line treatment in the management of high grade vesicoureteral reflux. J Urol. 2006;176(4 Pt 2):1856–9. discussion 9–60
Ormaechea M, Ruiz E, Denes E, Gimenez F, Denes FT, Moldes J, et al. New tissue bulking agent (polyacrylate polyalcohol) for treating vesicoureteral reflux: preliminary results in children. J Urol. 2010;183(2):714–7.
Friedmacher F, Colhoun E, Puri P. Endoscopic injection of dextranomer/hyaluronic acid as first line treatment in 851 consecutive children with high grade vesicoureteral reflux: efficacy and long-term results. J Urol. 2018;200(3):650–5.
Romain J, Fourcade L, Centi J, Blanc P, Masselin MC, Lescure V, et al. Delayed-onset ureteral obstruction and calcification masquerading as renal colic following deflux injection. Urology. 2016;94:218–20.
Ben-Meir D, Bahouth Z, Halachmi S. Late-onset uretero-vesical junction obstruction following endoscopic injection of bulking material for the treatment of vesico-ureteral reflux. Urology. 2017;101:60–2.
Holmdahl G, Brandstrom P, Lackgren G, Sillen U, Stokland E, Jodal U, et al. The Swedish reflux trial in children: II. Vesicoureteral reflux outcome. J Urol. 2010;184(1):280–5.
Elder JS, Diaz M, Caldamone AA, Cendron M, Greenfield S, Hurwitz R, et al. Endoscopic therapy for vesicoureteral reflux: a meta-analysis. I. Reflux resolution and urinary tract infection. J Urol. 2006;175(2):716–22.
Elder JS, Peters CA, Arant BS Jr, Ewalt DH, Hawtrey CE, Hurwitz RS, et al. Pediatric Vesicoureteral Reflux Guidelines Panel summary report on the management of primary vesicoureteral reflux in children. J Urol. 1997;157(5):1846–51.
Capozza N, Lais A, Matarazzo E, Nappo S, Patricolo M, Caione P. Treatment of vesico-ureteric reflux: a new algorithm based on parental preference. BJU Int. 2003;92(3):285–8.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
1 Electronic Supplementary Material
Video 39.1
Endoscopic treatment of VUR (MPG 134562 kb)
Rights and permissions
Copyright information
© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Koga, H., Murakami, H., Yamataka, A. (2022). Minimally Invasive Techniques in Pediatric Urology: Vesicoureteral Reflux Endoscopy. In: Esposito, C., Subramaniam, R., Varlet, F., Masieri, L. (eds) Minimally Invasive Techniques in Pediatric Urology. Springer, Cham. https://doi.org/10.1007/978-3-030-99280-4_39
Download citation
DOI: https://doi.org/10.1007/978-3-030-99280-4_39
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-99279-8
Online ISBN: 978-3-030-99280-4
eBook Packages: MedicineMedicine (R0)