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Indian Pediatrics

, Volume 55, Issue 12, pp 1046–1049 | Cite as

Endoscopic Management of Vesicoureteral Reflux and Long-term Follow-up

  • Kln Rao
  • Prema MenonEmail author
  • R Samujh
  • Jk Mahajan
  • M Bawa
  • Ma Malik
  • Br Mittal
Research Paper
  • 8 Downloads

Abstract

Objectives

To report our experience with endoscopic management of vesicoureteral reflux (VUR) by injection of a tissue bulking substance–Dextranomer/ hyaluronic acid copolymer at vesicoureteric junction.

Design

Retrospective analyses of case records.

Setting

Pediatric Surgery department in a tertiary care government Institute.

Participants

500 children (767 renal units) consecutively referred to the out-patient department with vesicoureteral reflux noted on micturating cysto-urethrogram (MCU) over a period of 13 years (2004-2016).

Intervention

Preoperative VUR grading and renal scars on radionuclide scans were documented. Dextranomer hyaluronic acid copolymer was injected through a cystoscope at the vesicoureteral junction as a day care procedure under short anesthesia. Patients were followed (average duration 27.3 mo) with clinical assessment, periodic urine cultures and renal scans.

Main outcome measure

Cessation of VUR and symptomatic relief / clinical success postoperatively at 3 months.

Results

Complete symptomatic relief was obtained in 482 (96.4%) patients. In 681 units where MCU was available, 614 (90%) units showed resolution of VUR.

Conclusion

Endoscopic injection of tissue bulking substances at vesicoureteric junction to stop VUR seems to be an effective intervention

Keywords

Dextranomer Renal scars Urinary tract infection 

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Copyright information

© Indian Academy of Pediatrics 2018

Authors and Affiliations

  • Kln Rao
    • 1
  • Prema Menon
    • 1
    Email author
  • R Samujh
    • 1
  • Jk Mahajan
    • 1
  • M Bawa
    • 1
  • Ma Malik
    • 1
  • Br Mittal
    • 2
  1. 1.Departments of Pediatric Surgery, PGIMERChandigarhIndia
  2. 2.Departments of Nuclear Medicine, PGIMERChandigarhIndia

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