Endoscopic vesicoureteral reflux correction in transplanted kidneys: does injection technique matter?

Journal of Endourology
Selçuk YücelMehmet Baykara

Abstract

Posttransplant vesicoureteral reflux (VUR) is a common urologic complication after renal transplantation, although its management is controversial. The treatment of choice is open surgical revision ureteral reimplantation with significant morbidity. Recently, endoscopic correction by using nonanimal dextranomer/hyaluronic acid copolymer (NA Dx/HA) injection has been reported to be effective in the treatment of VUR of transplanted kidneys. Herein, we present our 3-year endoscopic correction results in transplanted kidneys where we used two different injection techniques, subureteral and intraureteral. We retrospectively reviewed all patients who underwent endoscopic VUR correction of posttransplant VUR by NA Dx/HA injection between July 2005 and March 2009. We excluded patients with underlying urologic abnormalities. A total of 26 patients (14 women and 12 men) with a mean age of 32.2 years (range: 15–55) were studied. The VUR was also graded as nondilating reflux in 10 (grade I–II) and dilating reflux in 16 (grade III–IV). Seventeen ureters (5 nondilating and 12 dilating VUR) were injected NA Dx/HA intraureterally, and 9 ureters (5 nondilating and 4 dilating VUR) were injected NA Dx/HA subureterally. Overall success rate was 53...Continue Reading

References

Jul 1, 1993·British Journal of Urology·P CloixX Martin
Jun 27, 2003·Transplantation Proceedings·K C LatchamsettyC L Coogan
Sep 17, 2004·The Journal of Urology·Marcos Perez-BrayfieldHal C Scherz
Jun 12, 2009·Pediatric Transplantation·Vijaya M VemulakondaJeffrey B Campbell

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Citations

Apr 11, 2014·Nephro-urology Monthly·Orcun CelikSelcuk Yucel
Sep 12, 2013·Advances in Urology·Brian D DutyJohn M Barry
Oct 27, 2016·Pediatric Transplantation·Gina CambareriSarah Marietti
May 7, 2021·Experimental and Clinical Transplantation : Official Journal of the Middle East Society for Organ Transplantation·Murat UçarErol Güntekin

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