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Reflujo vesico ureteral

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13 papers 0 to 25 followers
https://www.readbyqxmd.com/read/27575606/polyacrylamide-hydrogel-as-a-bulking-agent-for-the-endoscopic-treatment-of-vesicoureteral-reflux-long-term-results-and-safety
#1
Sophie Ramsay, Anne-Sophie Blais, Fannie Morin, Katherine Moore, Jonathan Cloutier, Stéphane Bolduc
PURPOSE: Polyacrylamide hydrogel has been shown to offer a good short-term success rate for the endoscopic treatment of vesicoureteral reflux. Our objective was to provide long-term results on its efficacy and safety. MATERIALS & METHODS: We performed a prospective study using polyacrylamide hydrogel to treat all grades of vesicoureteral reflux. Every patient underwent endoscopic injection of polyacrylamide hydrogel, followed by a three-month post-operative renal ultrasound and voiding cystourethrogram...
August 26, 2016: Journal of Urology
https://www.readbyqxmd.com/read/27687330/delayed-obstruction-with-asymptomatic-loss-of-renal-function-after-dextranomer-hyaluronic-acid-copolymer-deflux-injection-for-vesicoureteral-reflux-a-close-look-at-a-disturbing-outcome
#2
Dimitri Papagiannopoulos, Ilina Rosoklija, Earl Cheng, Elizabeth Yerkes
Dextranomer/hyaluronic acid copolymer (Deflux) first received Food and Drug Administration approval in 2001 for endoscopic injection in children with grade II-IV vesicoureteral reflux VUR. As experience has grown, Deflux has been used more liberally with encouraging results. We report 3 cases where Deflux was used in off-label fashion, resulting in delayed ureteral obstruction and loss of renal function (range 18-52 months postoperatively). We now place increased emphasis on the need for long-term follow-up after Deflux in both routine and complex cases, particularly in situations of off-label use...
September 26, 2016: Urology
https://www.readbyqxmd.com/read/21695451/surgical-management-of-vesicoureteral-reflux-in-children
#3
REVIEW
Jennifer Sung, Steven Skoog
Vesicoureteral reflux (VUR) is the most common uropathy affecting children. Compared to children without VUR, those with VUR have a higher rate of pyelonephritis and renal scarring following urinary tract infection (UTI). Options for treatment include observation with or without antibiotic prophylaxis and surgical repair. Surgical intervention may be necessary in patients with persistent reflux, renal scarring, and recurrent or breakthrough febrile UTI. Both open and endoscopic approaches to reflux correction are successful and reduce the occurrence of febrile UTI...
April 2012: Pediatric Nephrology: Journal of the International Pediatric Nephrology Association
https://www.readbyqxmd.com/read/22857830/current-options-in-the-management-of-primary-vesicoureteral-reflux-in-children
#4
REVIEW
Fernando F Fonseca, Fabio Y Tanno, Hiep T Nguyen
The management of vesicoureteral reflux (VUR) is varied and remains controversial, which is likely because children with VUR have different risks for urinary tract infection or renal injury. Consequently, the treatment of VUR needs to be individualized based on the patient's characteristics. In this article, the authors review the medical and surgical management options for VUR in the pediatric population. The authors hope to provide a systematic approach to determine which treatment is optimal for a specific patient...
August 2012: Pediatric Clinics of North America
https://www.readbyqxmd.com/read/10588272/medical-or-surgical-management-for-children-with-vesico-ureteric-reflux
#5
REVIEW
U Jodal, S Hansson, K Hjälmås
A critical survey of the literature on treatment of children with vesico-ureteric reflux was carried out in order to create a basis for the new Swedish management policy. There are few studies that meet modern standards of scientific methodology and provide adequate patient numbers. The only large investigations that randomized patients to operative or non-operative treatment were the Birmingham Reflux Study and the International Reflux Study in Children. In these studies, long-term outcome of renal status and renal function, as well as the number of recurrent infections, were independent of treatment modality...
November 1999: Acta Paediatrica. Supplement
https://www.readbyqxmd.com/read/22619135/vesicoureteric-reflux-vur-in-children-where-are-we-now
#6
REVIEW
K Slabbaert, G Bogaert
In 1960 Hodson and Edwards published their landmark paper about the association between chronic pyelonefritis and vesicoureteric reflux (VUR). Since then, the approach for VUR became more important (1). In the last 30 years there have been multiple publications on vesicoureteric reflux (VUR) and discussions at Pediatric Urology meetings with the purpose to give answers to the questions what the best treatment is for VUR, at what age the treatment is advocated, does it prevent for febrile urinary tract infections (UTI's) and does it stop of decreases the risk for reflux nefropathy and renal scars Well known are the International Reflux Study (1981) with a European and an American arm in which the researchers compared medical approaches with surgical approaches to reflux, and the Birmingham Reflux study (1987) which was a prospective trial of operative versus non-operative treatment of severe vesicoureteric reflux in children with five years observation (2)...
May 2012: Archivos Españoles de Urología
https://www.readbyqxmd.com/read/20478580/the-swedish-reflux-trial-in-children-i-study-design-and-study-population-characteristics
#7
RANDOMIZED CONTROLLED TRIAL
Per Brandström, Elisabeth Esbjörner, Maria Herthelius, Gundela Holmdahl, Göran Läckgren, Tryggve Nevéus, Ulla Sillén, Rune Sixt, Ingrid Sjöberg, Eira Stokland, Ulf Jodal, Sverker Hansson
PURPOSE: We compared the rates of febrile urinary tract infection, kidney damage and reflux resolution in children with vesicoureteral reflux treated in 3 ways, including antibiotic prophylaxis, endoscopic therapy and surveillance with antibiotics only for symptomatic urinary tract infection. MATERIALS AND METHODS: Children 1 to younger than 2 years with grade III-IV reflux were recruited into this prospective, open, randomized, controlled, multicenter study and followed for 2 years after randomization...
July 2010: Journal of Urology
https://www.readbyqxmd.com/read/20488486/the-swedish-reflux-trial-in-children-v-bladder-dysfunction
#8
RANDOMIZED CONTROLLED TRIAL
Ulla Sillén, Per Brandström, Ulf Jodal, Gundela Holmdahl, Anders Sandin, Ingrid Sjöberg, Sverker Hansson
PURPOSE: We investigated the prevalence and types of lower urinary tract dysfunction in children with vesicoureteral reflux grades III and IV, and related improved dilating reflux, renal damage and recurrent urinary tract infection to dysfunction. MATERIALS AND METHODS: A total of 203 children between ages 1 to less than 2 years with reflux grades III and IV were recruited into this open, randomized, controlled, multicenter study. Voiding cystourethrography and dimercapto-succinic acid scintigraphy were done at study entry and 2-year followup...
July 2010: Journal of Urology
https://www.readbyqxmd.com/read/20488494/the-swedish-reflux-trial-in-children-iii-urinary-tract-infection-pattern
#9
RANDOMIZED CONTROLLED TRIAL
Per Brandström, Elisabeth Esbjörner, Maria Herthelius, Svante Swerkersson, Ulf Jodal, Sverker Hansson
PURPOSE: We evaluated the difference in the febrile urinary tract infection rate in small children with dilating vesicoureteral reflux randomly allocated to 3 management alternatives, including antibiotic prophylaxis, endoscopic treatment or surveillance only as the control. MATERIALS AND METHODS: At 23 centers a total of 203 children were included in the study, including 128 girls and 75 boys 1 to younger than 2 years. Vesicoureteral reflux grade III in 126 cases and IV in 77 was detected after a febrile urinary tract infection (194) after prenatal screening (9)...
July 2010: Journal of Urology
https://www.readbyqxmd.com/read/20488469/the-swedish-reflux-trial-in-children-ii-vesicoureteral-reflux-outcome
#10
RANDOMIZED CONTROLLED TRIAL
Gundela Holmdahl, Per Brandström, Göran Läckgren, Ulla Sillén, Eira Stokland, Ulf Jodal, Sverker Hansson
PURPOSE: We compared reflux status in children with dilating vesicoureteral reflux treated in 3 groups, including low dose antibiotic prophylaxis, endoscopic therapy and a surveillance group on antibiotic treatment only for febrile urinary tract infection. MATERIALS AND METHODS: A total of 203 children 1 to younger than 2 years with grade III-IV reflux were recruited into this open, randomized, controlled trial. Endoscopic treatment was done with dextranomer/hyaluronic acid copolymer...
July 2010: Journal of Urology
https://www.readbyqxmd.com/read/21807562/the-swedish-reflux-trial-review-of-a-randomized-controlled-trial-in-children-with-dilating-vesicoureteral-reflux
#11
RANDOMIZED CONTROLLED TRIAL
Per Brandström, Ulf Jodal, Ulla Sillén, Sverker Hansson
OBJECTIVES: To evaluate prophylaxis and endoscopic injection for children with dilating vesicoureteral reflux (VUR) compared to surveillance, regarding urinary tract infection (UTI) recurrence, new renal damage, VUR outcome, and impact of lower urinary tract (LUT) dysfunction on these outcomes. PATIENTS AND METHODS: 203 children (128 girls and 75 boys), aged 1 to <2 years, with VUR grade III or IV were randomized to antibiotic prophylaxis (n = 69), endoscopic injection (n = 66) or surveillance (n = 68)...
December 2011: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/22784770/re-the-swedish-reflux-trial-review-of-a-randomized-controlled-trial-in-children-with-dilating-vesicoureteral-reflux
#12
EDITORIAL
Douglas A Canning
No abstract text is available yet for this article.
August 2012: Journal of Urology
https://www.readbyqxmd.com/read/20494369/the-swedish-reflux-trial-in-children-iv-renal-damage
#13
RANDOMIZED CONTROLLED TRIAL
Per Brandström, Tryggve Nevéus, Rune Sixt, Eira Stokland, Ulf Jodal, Sverker Hansson
PURPOSE: We compared the development of new renal damage in small children with dilating vesicoureteral reflux randomly allocated to antibiotic prophylaxis, endoscopic treatment or surveillance as the control group. MATERIALS AND METHODS: Included in the study were 128 girls and 75 boys 1 to younger than 2 years with grade III-IV reflux. Voiding cystourethrography and dimercapto-succinic acid scintigraphy were done before randomization and after 2 years. Febrile urinary tract infections were recorded during followup...
July 2010: Journal of Urology
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