Unilateral vesicoureteral reflux and history of contralateral vesicoureteral reflux warranting routine bilateral endoscopic correction

The Journal of Urology
Boris ChertinAmicur Farkas

Abstract

It has been shown that the incidence of de novo vesicoureteral reflux following unilateral endoscopic correction is low and does not justify prophylactic injection into the nonrefluxing ureter. We analyzed whether we should routinely treat each ureter in patients with a history of bilateral vesicoureteral reflux in whom reflux previously disappeared spontaneously on 1 side. Between 1991 and 2005, 458 children underwent endoscopic correction of unilateral vesicoureteral reflux. Of the children 15 with bilateral vesicoureteral reflux at the beginning of followup showed spontaneous reflux resolution on 1 side. Resolved reflux was grade II to IV in 5, 8 and 2 children, respectively. Mean time to reflux resolution was 3.3 years (range 2 to 5). Reflux corrected endoscopically was grade II to IV in 1, 6 and 8 children, respectively. All children were female and age at endoscopic correction was 2 to 16 years. None of the children had voiding dysfunction at the time of injection. Injection was performed routinely only into the refluxing ureter. Configuration of the orifice of the ureter with resolved vesicoureteral reflux was recorded at injection. Vesicoureteral reflux was corrected in all except 1 ureter, in which reflux was downgrade...Continue Reading

References

Oct 1, 1989·AJR. American Journal of Roentgenology·S Jequier, J C Jequier
Aug 1, 1996·The Journal of Urology·D A DiamondA A Caldamone
Apr 11, 2003·The Journal of Urology·Boris Chertin, Prem Puri
Apr 8, 2006·The Journal of Urology·Jonathan C RouthYuri Reinberg

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Citations

Nov 19, 2010·Journal of Pediatric Urology·Haluk EmirYunus Soylet
Jan 5, 2011·International Journal of Urology : Official Journal of the Japanese Urological Association·Fumi MatsumotoToshihiko Itesako

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