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Vesicoureteral reflux

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https://www.readbyqxmd.com/read/28927982/endoscopic-injection-for-primary-vesicoureteric-reflux-predictors-of-resolution-and-long-term-efficacy
#1
Ling Leung, Ivy Hau Yee Chan, Patrick Ho Yu Chung, Lawrence Chuen Leung Lan, Paul Kwong Hang Tam, Kenneth Kak Yuen Wong
AIM: We investigated the efficacy of endoscopic-Deflux-injection in treating primary-vesicoureteric-reflux (VUR) and identified factors to predict resolution. MATERIALS AND METHODS: Records of children treated with Deflux for primary-VUR from 1995 to 2016 were reviewed, and outcomes were investigated. RESULTS: Eighty-eight ureters (35 bilateral, 18 unilateral) in 53 children underwent 124 injections. Thirty-five (66%) patients had single injection (13 unilateral, 22 bilateral)...
September 4, 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/28918954/contemporary-management-of-vesicoureteral-reflux
#2
REVIEW
Perviz Hajiyev, Berk Burgu
CONTEXT: Vesicoureteral reflux (VUR) remains the most interesting topic of pediatric urology due to the dynamic nature of recent controversial publications. Starting from the need for a diagnosis to the necessity and effectiveness of treatment in preventing scars, VUR remains in the mist. Although recent strong evidence helped as fog lights in this blurriness, more data are required for achieving crystal clearance. This article aims to summarize and discuss the current state of the evidence regarding VUR management...
September 11, 2017: European Urology Focus
https://www.readbyqxmd.com/read/28901936/advances-in-paediatric-urology
#3
REVIEW
David A Diamond, Ivy H Y Chan, Andrew J A Holland, Michael P Kurtz, Caleb Nelson, Carlos R Estrada, Stuart Bauer, Paul K H Tam
Paediatric urological surgery is often required for managing congenital and acquired disorders of the genitourinary system. In this Series paper, we highlight advances in the surgical management of six paediatric urological disorders. The management of vesicoureteral reflux is evolving, with advocacy ranging from a less interventional assessment and antimicrobial prophylaxis to surgery including endoscopic injection of a bulking agent and minimally invasive ureteric reimplantation. Evidence supports early orchidopexy to improve fertility and reduce malignancy in boys with undescended testes...
September 9, 2017: Lancet
https://www.readbyqxmd.com/read/28888708/ureteric-urethral-engraftment-as-a-new-surgical-technique-for-management-of-incontinence-in-bladder-exstrophy-complex-a-retrospective-cohort
#4
Abdol-Mohammad Kajbafzadeh, Shabnam Sabetkish, Nastaran Sabetkish
OBJECTIVES: To report the results of a novel surgical technique for achieving urinary continence in patients with bladder exstrophy complex (BEC) by ureteric-urethral engraftment (UUE) technique. PATIENTS AND METHODS: Sixteen female patients with BEC and a mean ± SD age of 3.48 ± 1.75 years were referred for primary exstrophy repair from 2009 to 2012. From these, 9 patients were operated by single-stage bladder closure (group I); while 7 patients underwent the novel technique of UUE to compare the continence achievement (group II)...
September 6, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/28886348/personalized-treatment-of-vesicoureteral-reflux-where-are-we-now
#5
EDITORIAL
Saul P Greenfield
No abstract text is available yet for this article.
September 5, 2017: Journal of Urology
https://www.readbyqxmd.com/read/28874628/ureterocele-fenestration-with-holmium-laser-in-neonates
#6
Predrag Ilic, Mirjana Jankovic, Maja Milickovic, Slobodan Dzambasanovic, Vladimir Kojovic
AIM: To evaluate the effectiveness of holmium-laser fenestration of intravesical ureteroceles in neonatal period. MATERIAL AND METHOD: We retrospectively analyzed the results of the holmium-laser puncture in ten neonates with intravesical ureterocele, between September 2013 and September 2016. Laser probe was placed through the cystoscope to the lowest and medial portion of the ureterocele, near the bladder floor. Few punctures (4 to 8) were made, until ureterocele has been collapsed...
June 23, 2017: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/28867581/high-pressure-balloon-dilatation-of-the-ureterovesical-junction-in-primary-obstructive-megaureter-infectious-morbidity
#7
I Kassite, K Braïk, B Morel, T Villemagne, C Szwarc, Z Maakaroun, A R Cook, H Lardy, A Binet
INTRODUCTION: The objective of this study is to investigate the infectious morbidity associated with high-pressure balloon dilatation (HPBD) and an indwelling double J stent, in primary obstructive megaureter. METHODS: We reviewed the cases of 12 patients undergoing endoscopic treatment for primary obstructive megaureter from January 2012 to January 2015. The characteristics of the infection and data concerning the patient and the intervention were analyzed. RESULTS: The frequency of preoperative urinary tract infection (UTI) was 58%...
August 31, 2017: Progrès en Urologie
https://www.readbyqxmd.com/read/28866466/impact-of-clinical-guidelines-on-voiding-cystourethrogram-utilization-and-vesicoureteral-reflux-incidence
#8
Ted Lee, Chandy Ellimoottil, Kathryn A Marchetti, Tanima Banerjee, Vesna Ivančić, Kate H Kraft, David A Bloom, John M Park, Julian Wan
BACKGROUND: To prevent overdiagnosis and overtreatment of vesicoureteral reflux, the 2007 British National Institution of Clinical Excellence (NICE) and 2011 American Academy of Pediatrics (AAP) guidelines both recommended against routine voiding cystourethrogram in children presenting with first febrile urinary tract infections. The impact of these guidelines on clinical practice is unknown. METHODS: Using an administrative claims database (Cliniformatics(TM) Data Mart), children with voiding cystourethrogram or diagnosis of vesicoureteral reflux between 2001 and 2015 were identified...
August 30, 2017: Journal of Urology
https://www.readbyqxmd.com/read/28861311/our-experiences-with-robot-assisted-laparoscopic-surgery-in-pediatric-patients-the-first-case-series-from-turkey
#9
Yusuf Kibar, Serdar Yalçın, Engin Kaya, Burak Köprü, Turgay Ebiloğlu, Giray Ergin, Hüseyin Tomruk
OBJECTIVE: Robotic surgery is a leading treatment option for minimally invasive surgery and has an increasing popularity in pediatric population, as well. In this article, we reported our case series of robot-assisted laparoscopic surgery in pediatric population. MATERIAL AND METHODS: We retrospectively reviewed 29 consecutive pediatric patients who underwent robot- assisted procedures between May 2014 and October 2016. Patient demographics, hospitalization time, estimated blood loss, robotic time and total operative and peri-, and post-operative complications were evaluated...
September 2017: Turkish Journal of Urology
https://www.readbyqxmd.com/read/28857527/-vesicoureteral-reflux-fundamentals-of-the-current-treatment
#10
N Álvarez García, J Gracia Romero
No abstract text is available yet for this article.
April 20, 2017: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
https://www.readbyqxmd.com/read/28852928/laparoscopic-ureteral-reimplantation-with-extracorporeal-tailoring-and-direct-nipple-ureteroneocystostomy-for-adult-obstructive-megaureter-long-term-outcomes-and-comparison-to-open-procedure
#11
Wenlong Zhong, Lin Yao, Haoran Cui, Kunlin Yang, Gang Wang, Tao Xu, Xiongjun Ye, Xuesong Li, Liqun Zhou
PURPOSE: To evaluate the long-term outcomes of laparoscopic ureteral reimplantation with extracorporeal tailoring and direct nipple ureteroneocystostomy for adult obstructive megaureter and compare the results with the open procedure. METHODS: From January 2007 to July 2013, 22 patients underwent laparoscopic and 28 patients underwent open ureteral reimplantation for adult obstructive megaureter. For laparoscopic group, the dilated ureter was delivered out of through a 12-mm port and the distal end was tailored and formed into an antireflux nipple extracorporeally...
August 29, 2017: International Urology and Nephrology
https://www.readbyqxmd.com/read/28848728/decreased-identification-of-vesicoureteral-reflux-a-cautionary-tale
#12
Aslam Hyder Qureshi, Oluwaseun Ajayi, Andrew Lawrence Schwaderer, David S Hains
AIM: To find the trend in patient's visits to our centers for vesicoureteral reflux (VUR). We hypothesize that VUR diagnosis and hence possible nephropathy recognition may be diminishing because of changing practice patterns. METHODS: Data were extracted from electronic medical records for new and follow-up patients aged 0-18 years with ICD-9/10 codes to correspond with VUR, VUR unilateral, VUR bilateral, and VUR with reflux nephropathy, as well as new patients with diagnoses of urinary tract infections (UTI) and pyelonephritis at two major pediatric centers from 2012 to 2015...
2017: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/28818534/endoscopic-treatment-of-vesicoureteral-reflux-in-infants-can-we-do-it-and-should-we-do-it
#13
Sara Fuentes, Andrés Gómez-Fraile, Isabel Carrillo-Arroyo, Cristina Tordable-Ojeda, Daniel Cabezalí-Barbancho
Objective To evaluate the outcomes of endoscopic treatment of vesicoureteral reflux (VUR) performed on infants, and to discuss the possible role of this approach in selected cases. Material and Methods A retrospective analysis was conducted on the patients that underwent endoscopic injection of a bulking substance for VUR in our institution, and a comparison made with patients treated as infants and those treated later in life. Results A total 463 ureteric units were included (296 children), of which 47 of them were patients less than one year of age (infants, INF group), with the remaining 416 being included in a second group (children, CHL)...
August 14, 2017: Urology
https://www.readbyqxmd.com/read/28814707/-transurethral-injection-using-deflux-for-vesicoureteral-reflux-in-three-adult-women-with-frequent-febrile-urinary-tract-infections
#14
Yoko Saito, Jun-Ichi Teranishi, Yohei Kumano, Masahiro Yasui, Syohei Mori, Shuko Yoneyama, Ayako Gobara, Takashi Kawahara, Hiroji Uemura
We report three patients with frequent febrile urinary tract infections (fUTI) who underwent transurethral injection therapy with Deflux for vesicoureteral reflux (VUR). The first case was in a 52-yearold woman who was initially diagnosed with right grade II and left grade I VUR at 18 years of age. She frequently experienced fUTI due to VUR. The second case was in a 29-year-old woman. At age 23,she was diagnosed with right grade III VUR when she developed fUTI. After that,she repeatedly developed fUTI. The third case was in a 40-year-old woman who had frequently experienced fUTI since 25 years of age and had gradually become antibiotics-resistant...
July 2017: Hinyokika Kiyo. Acta Urologica Japonica
https://www.readbyqxmd.com/read/28785197/neisseria-mucosa-a-new-urinary-tract-pathogen
#15
Daniël F Osses, Anneke C Dijkmans, Alfred H van Meurs, Frank M Froeling
The most common complication of vesicoureteral reflux is urinary tract infection. We report a case of a urinary tract infection in a child with severe vesicoureteral reflux, caused by Neisseria mucosa, usually considered to be a commensal inhabitant of the oro- or nasopharynx.
July 2017: Current Urology
https://www.readbyqxmd.com/read/28779274/long-term-functional-outcome-after-untethering-surgery-for-a-tethered-spinal-cord-in-patients-with-anorectal-malformations
#16
Mikihiro Inoue, Keiichi Uchida, Kohei Otake, Yuka Nagano, Tadanobu Shimura, Kiyoshi Hashimoto, Kohei Matsushita, Yuhki Koike, Toshio Matsubara, Masato Kusunoki
BACKGROUND: Anorectal malformation (ARM) is associated with a tethered spinal cord (TSC). Long-term functional outcome of untethering surgery for TSC in patients with ARM has not been well evaluated. METHODS: Patients aged 7 years and older who underwent repair of ARM and spinal magnetic resonance imaging from January 1995 to December 2008 were reviewed retrospectively. Untethering surgery was performed in all patients who were diagnosed with TSC, regardless of the presence or of neurological symptoms...
August 4, 2017: Pediatric Surgery International
https://www.readbyqxmd.com/read/28755057/feasibility-of-superb-microvascular-imaging-to-detect-high-grade-vesicoureteral-reflux-in-children-with-urinary-tract-infection
#17
Hee Kyung Kim, Sara O'Hara, Bo-Kyung Je, Steven J Kraus, Paul Horn
OBJECTIVE: To evaluate superb microvascular imaging (SMI) for the detection of high-grade vesicoureteral reflux (VUR). METHODS: We reviewed the patients with urinary tract infection who underwent renal US with SMI and VCUG. The subjects were divided into a VUR group, which included 17 patients (20 kidney units, KU) with high-grade reflux (grade 4 or 5) on VCUG, and a group without VUR including the same numbers of subjects. The direction of urine movement at the distal ureter and the renal pelvis was reviewed on SMI...
July 28, 2017: European Radiology
https://www.readbyqxmd.com/read/28753880/paediatric-urology-and-the-dilemma-of-low-quality-evidence-for-the-management-of-common-urological-conditions-vesicoureteral-reflux-lower-urinary-tract-dysfunction-undescended-testis-in-children
#18
Christian Radmayr, Serdar Tekgul
We have to strive for a more prospective scientific approach to every specific urological condition in children, with contributions from all parties involved and an emphasis on proper outcome research.
April 25, 2017: European Urology Focus
https://www.readbyqxmd.com/read/28748898/unilateral-multicystic-renal-dysplasia-prenatal-diagnosis-on-ultrasound
#19
Vaidehi K Pandya, Harsh C Sutariya
Multicystic renal dysplasia (MCRD) is the most common cause of abnormally enlarged kidney, diagnosed on antenatal ultrasound examination. It is an abnormality of the embryonic development in which the renal parenchyma is substituted by nonfunctioning renal tissue made up of cysts which do not communicate with each other. Vesicoureteric reflux (VUR), pelviureteric junction obstruction, vesicoureteric junction obstruction, and ureterocele are the most commonly seen abnormalities in contralateral kidney. Here, we report a case of prenatal diagnosis of unilateral MCRD with VUR in contralateral kidney...
July 2017: Saudi Journal of Kidney Diseases and Transplantation
https://www.readbyqxmd.com/read/28743527/effectiveness-and-complications-of-augmentation-cystoplasty-with-or-without-non-refluxing-ureteral-reimplantation-in-adult-patients-with-long-standing-bladder-dysfunction-a-single-center-11-year-experience-in-173-cases
#20
Zhaoxia Wang, Limin Liao
PURPOSE: To review our experience for effectiveness and complications of augmentation cystoplasty (AC) with or without non-refluxing ureteral reimplantation in adult patients with long-standing bladder dysfunction MATERIAL AND METHODS: We retrospectively reviewed 173 patients who underwent AC with or without ureteral re-implantation (UR) at our center from July 2005 to July 2016. Clinical data, magnetic resonance urography (MRU), and video-urodynamics (VUD) parameters were collected. The upper urinary tract dilation (UUTD) and vesicoureteral reflux (VUR) grading systems were used to evaluate upper urinary tract function...
July 22, 2017: Journal of Urology
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