Ipsilateral Ureteroureterostomy in the Management of Vesicoureteral Reflux in Duplication of upper Urinary Tract

1971 ◽  
Vol 105 (4) ◽  
pp. 507-510 ◽  
Author(s):  
Bernard Lytton ◽  
Robert M. Weiss ◽  
Robert R. Berneike
Keyword(s):  
Urinary Tract ◽  
Vesicoureteral Reflux ◽  
Upper Urinary Tract

Safety assessment and diagnostic evaluation of patients undergoing contrast-enhanced urosonography in the setting of vesicoureteral reflux confirmation

2021 ◽  
pp. 1-9
Author(s):  
Constantin A. Marschner ◽  
Vincent Schwarze ◽  
Regina Stredele ◽  
Matthias F. Froelich ◽  
Johannes Rübenthaler ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Vesicoureteral Reflux ◽  
Sensitivity And Specificity ◽  
Diagnostic Tool ◽  
High Sensitivity ◽  
Upper Urinary Tract ◽  
Clinical Diagnostics ◽  
Voiding Cystourethrography

BACKGROUND: Vesicoureteral reflux (VUR) represents a common pediatric anomaly in children with an upper urinary tract infection (UTI) and is defined as a retrograde flow of urine from the bladder into the upper urinary tract. There are many diagnostic options available, including voiding cystourethrography (VCUG) and contrasted-enhanced urosonography (ceVUS). ceVUS combines a diagnostic tool with a high sensitivity and specificity which, according to previous study results, was even shown to be superior to VCUG. Nevertheless, despite the recommendation of the EFSUMB, the ceVUS has not found a widespread use in clinical diagnostics in Europe yet. MATERIALS AND METHODS: Between 2016 and 2020, 49 patients with a marked female dominance (n = 37) were included. The youngest patient had an age of 5 months, the oldest patient 60 years. The contrast agent used in ceVUS was SonoVue®, a second-generation blood-pool agent. All examinations were performed and interpreted by a single experienced radiologist (EFSUMB Level 3). RESULTS: The 49 patients included in the study showed no adverse effects. 51%of patients (n = 26) were referred with the initial diagnosis of suspected VUR, while 49%of patients (n = 23) came for follow-up examination or to rule out recurrence of VUR. The vast majority had at least one febrile urinary tract infection in their recent medical history (n = 45; 91,8%). CONCLUSION: ceVUS is an examination method with a low risk profile which represents with its high sensitivity and specificity an excellent diagnostic tool in the evaluation of vesicoureteral reflux, especially in consideration of a generally very young patient cohort.

ASSESSMENT OF VESICOURETERAL REFLUX IN PATIENTS WITH SELF-RETAINING URETERAL STENTS: IMPLICATIONS FOR UPPER URINARY TRACT INSTILLATION

2005 ◽  
Vol 173 (3) ◽  
pp. 890-893 ◽  
Author(s):  
OFER YOSSEPOWITCH ◽  
DAVID A. LIFSHITZ ◽  
YORAM DEKEL ◽  
YARON EHRLICH ◽  
URI GUR ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Vesicoureteral Reflux ◽  
Upper Urinary Tract ◽  
Ureteral Stents

scholarly journals Treatment of vesicoureteric reflux in children

2021 ◽  
pp. 21-27
Author(s):  
Kh. Ibodov ◽  
T. Sh. Ikromov ◽  
K. M. Mirakov ◽  
K. M. Sayyodov ◽  
R. Rofiev ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Vesicoureteral Reflux ◽  
Vesicoureteric Reflux ◽  
Upper Urinary Tract ◽  
Synthetic Material ◽  
Results Of Treatment ◽  
Grade Ii ◽  
Endoscopic Correction ◽  
Positive Results ◽  
Grade Iii

Aim. To study the efficacy of endoscopic correction of vesicoureteric reflux in children using bulk synthetic material.Material and methods. From 2016 to 2020, we studied the results of treatment of 63 children with vesicoureteric reflux. The children ranged in age from 6 months to 17 years. The degree of vesicoureteral reflux was as follows: grade I was observed in 2 (3.1%) patients, grade II in 16 (25.3%), grade III in 30 (47.6%), grade IV in 13 (21.98%), and grade V in 2 (3.1%). Among 63 patients with CKD, grade I was found in 26 (41.3%), grade II - in 16 (25.4%); grade III - in 13 (20.6%); grade V - in 2 (3.1%). - III stage - 13 (20,6%); IV stage - 8 (12,7%); IV stage - 4 (12,6%). - (12,7%), and there were no patients with V stage of CKD were absent. Unilateral vesicoureteric reflux was noted in 45 (71.4%) children, bilateral - in 18 (28.5%) children. Endoscopic intravesical correction of vesicoureteral reflux was performed by suburethral injection of “Dam+”.Results and discussion. Summarizing the results of our study, it should be noted that positive results were achieved concerning the relief of urinary tract infection, elimination of urine outflow from the upper urinary tract, improvement of renal function after PMR correction using “Dam+”. Positive results of VUR correction amounted to 75,01%.Conclusions. Endoscopic correction of VUR is one of the effective and low-traumatic methods of treatment. Application of the biocompatible synthetic material “Dam+” in the correction of vesicoureteric reflux contributes to positive results.

Long-Term Effect of Vesicoureteral Reflux on the Upper Urinary Tract of Dogs: I. Without Urinary Infection

1972 ◽  
Vol 107 (5) ◽  
pp. 755-757 ◽  
Author(s):  
Daniel Lenaohan ◽  
Alexander S. Cass ◽  
Leo J. Cussen ◽  
F. Douglas Stephens
Keyword(s):  
Urinary Tract ◽  
Vesicoureteral Reflux ◽  
Urinary Infection ◽  
Upper Urinary Tract ◽  
Term Effect ◽  
Long Term Effect

Surgical management of vesicoureteral reflux in adults

2021 ◽  
pp. 205141582110140
Author(s):  
Nnaemeka Eli ◽  
Yih Chyn Phan ◽  
Magda Kujawa
Keyword(s):  
Urinary Tract ◽  
Vesicoureteral Reflux ◽  
Surgical Management ◽  
Incidental Finding ◽  
Paediatric Population ◽  
Upper Urinary Tract ◽  
Full Bladder ◽  
Loin Pain ◽  
Tract Infections ◽  
Made In

Vesicoureteral reflux (VUR) is the retrograde flow of urine from the bladder into the upper urinary tract with or without upper-tract dilatation. This diagnosis is commonly made in childhood, affecting 1% of all births. In adults, its prevalence and incidence are not known. Presentation in adults could be with loin pain associated with voiding or a full bladder, recurrent urinary tract infections, a diagnosis carried over from childhood or an incidental finding. Most of the works on VUR have been done in the paediatric population. There are limited publications addressing VUR in adults. Unsurprisingly, the management of VUR in adults is extrapolated from the knowledge that we have gained from paediatric urology. Herein, we recap on the pathophysiology and review the surgical management of VUR in adults as published over the years.

Influence of Vesicoureteral Reflux and Urinary Tract Infection on Renal Growth in Children with Upper Urinary Tract Duplication

1989 ◽  
Vol 30 (4) ◽  
pp. 391-394
Author(s):  
L. Hannerz ◽  
I. Wikstad ◽  
G. Celsi ◽  
A. Aperia
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Vesicoureteral Reflux ◽  
Upper Urinary Tract ◽  
Renal Growth ◽  
Group A ◽  
Group B ◽  
Parenchymal Thickness ◽  
Renal Length

The growth of the renal parenchyma was examined in children with duplicated outflow systems, vesicoureteral reflux (VUR), urinary tract infection (UTI) and no sign of obstruction. Ten patients with reflux occurring only in the caudal system (group A) and 4 patients with reflux both to the caudal and the apical system (group B) were studied shortly after their first UTI (study 1) and then 1.5 to 9 years later (study 2). The frequency of UTI was relatively high during the follow-up period. At urography, renal length and renal area were normal in group A in studies 1 and 2. Parenchymal thickness of the apical pole (APT/L) did not differ from normal values in any of the studies. Parenchymal thickness of the caudal pole (CPT/L) was significantly smaller than normal in both studies. There was also a significant decrease in CPT/L between study 1 and 2. UTI during the first year of life was associated with a greater reduction in CPT/L. The determination of renal length and renal area in children with a duplicated ureter, VUR and UTI, does not identify subjects at risk of developing renal growth retardation while serial determinations of parenchymal thickness appear to be an appropriate method.

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