Endoscopic Correction of Vesicoureteral Reflux with Bovine Collagen Injected Submucosally at the Ureteral Orifice

1987 ◽  
Vol 137 (6) ◽  
Author(s):  
Craig A. Peters ◽  
Robert D. Jeffs
Keyword(s):  
Vesicoureteral Reflux ◽  
Ureteral Orifice ◽  
Bovine Collagen ◽  
Endoscopic Correction

SPECIFIC FEATURES OF ENDOSCOPIC CORRECTION TECHNIQUE OF VESICOURETERAL REFLUX IN CHILDREN

2021 ◽  
Vol 100 (4) ◽  
pp. 87-92
Author(s):  
S.N. Zorkin ◽  
◽  
D.S. Shakhnovsky ◽  
E.R. Barsegyan ◽  
B.N. Uvarov ◽  
...  
Keyword(s):  
Vesicoureteral Reflux ◽  
Treatment Options ◽  
Reflux Nephropathy ◽  
Correct Choice ◽  
Bulking Agents ◽  
Ureteral Orifice ◽  
Correction Technique ◽  
Increased Risk ◽  
Endoscopic Correction ◽  
The 19Th Century

Vesicoureteral reflux (VUR) is one of the most frequent diseases in pediatric urology studied since the 19th century. It has an increased risk of infection of the urinary tract, sclerosis of the renal parenchyma and development of reflux-nephropathy with an outcome in renal failure. Several treatment options have been developed for patients with VUR. For 50 years, open ureteral reimplantation has been considered the «gold standard» of treatment, but over the past 20 years there has been a shift towards less invasive methods, primarily endoscopic administration of bulking agents. In order to increase the effectiveness of endoscopic treatment, several basic recommendations for the operation have been identified and many volume-forming drugs have been developed. The most important is the correct choice of one of the three main methods of drug administration and the hydrodilation of the ureteral orifice during injection. Performing of endoscopic correction in compliance with all the rules and the use of the latest generation of bulking agents ensure the frequency of elimination of VUR up to 90% after the first injection.

181: Ordinary Glass Sphere as an Alternative Injectable Material for Endoscopic Correction of Vesicoureteral Reflux

2004 ◽  
Vol 171 (4S) ◽  
pp. 48-48
Author(s):  
Ferruh Simsek ◽  
Selcuk Yucel ◽  
Mustafa Aktas ◽  
Levent N. Turkeri
Keyword(s):  
Vesicoureteral Reflux ◽  
Glass Sphere ◽  
Endoscopic Correction

scholarly journals Positional installation of contrast cystography: A new approach in the diagnosis of vesicoureteral reflux

2008 ◽  
Vol 136 (11-12) ◽  
pp. 617-620
Author(s):  
Milan Paunovic ◽  
Polina Pavicevic ◽  
Vladimir Radlovic ◽  
Vojkan Vukadinovic
Keyword(s):  
Contrast Medium ◽  
Vesicoureteral Reflux ◽  
Diagnostic Procedures ◽  
Voiding Cystourethrography ◽  
Ureteral Orifice ◽  
Endoscopic Appearance ◽  
New Approach ◽  
Normal Finding ◽  
Normal Limits ◽  
Grade Ii

INTRODUCTION Positional installation of contrast cystography (PIC cystography) represents a new method to identify vesicoureteral reflux (VUR) that is unrevealed by standard diagnostic procedures. It is performed by radiological examination of the vesicoureteral junction during cystoscopic installation of the contrast medium at the ureteral orifice. OBJECTIVE We studied the significance of PIC cystography to demonstrate VUR that failed to be revealed by standard voiding cystourethrography (MCUG), as well as the degree of the correlation of such a finding with endoscopic appearance and the position of the ureteral orifice (UO). METHOD The aim of the paper was to analyze a sample of 5 children (4 girls and 1 boy), aged 6-15 years (mean 9.8 years) with recurrent febrile urotract infections, complicated with scarring changes of the renal parenchyma and normal findings on MCUG. The grade of VUR demonstrated by PIC cystography was classified using the standard hydrodistensional scale. RESULTS All 5 patients had VUR, disclosed by PIC cystography, of whom in 4 it was unilateral and in one bilateral. Of 5 patients, 4 had VUR grade I and one grade II. All the children with VUR detected by PIC cystography also had evident cystoscopic abnormalities in the position and/or configuration of the ureteral orifice at the same side, while at the side with normal finding on PIC cystography, the endoscopic finding was also within normal limits. CONCLUSION PIC cystography is the method of choice in the confirmation of VUR as the cause of recurrent urotract infection and its complications in children with a normal finding on standard MCUG. In all our patients with VUR verified by PIC cystography, at the same side we also revealed endoscopic changes in the position and/or configuration of UO.

Endoscopic Correction of Vesicoureteral Reflux

2018 ◽  
Author(s):  
Michael Garcia-Roig ◽  
Andrew J. Kirsch
Keyword(s):  
Minimally Invasive ◽  
Antibiotic Prophylaxis ◽  
Vesicoureteral Reflux ◽  
Implantation Technique ◽  
Voiding Cystourethrogram ◽  
Successful Result ◽  
Endoscopic Injection ◽  
Invasive Method ◽  
Endoscopic Correction ◽  
Parent Preference

Management of vesicoureteral reflux may involve a period of observation while the patient is on continuous antibiotic prophylaxis while awaiting spontaneous resolution. There are several indications for surgical correction that include non-resolution after a period of observation, parent preference, or breakthrough infections while on antibiotic prophylaxis, just to name a few. Endoscopic injection for correction of vesicoureteral reflux is an effective, minimally invasive method of treatment. Successful treatment is dependent on surgical technique, with a success rate of 77 to 94% with the double hydrodistension implantation technique (HIT) and uniform endpoints of injection. We aim to describe the double HIT technique for endoscopic injection along with tips and tricks for a successful result.     This review contains 10 figures, 5 tables and 26 references Keywords: Vesicoureteral reflux, minimally invasive, febile urinary tract infection, voiding cystourethrogram, deflux, dextranomer/hyaluronic acid, children, cystoscopy, pyelonephritis, endoscopy 

PITFALLS OF REPEAT SUBURETERAL BOVINE COLLAGEN INJECTIONS FOR THE ENDOSCOPIC TREATMENT OF VESICOURETERAL REFLUX

2000 ◽  
Vol 163 (6) ◽  
pp. 1919-1921 ◽  
Author(s):  
A. HAFERKAMP ◽  
K. MÖHRING ◽  
G. STAEHLER ◽  
J. DÖRSAM
Keyword(s):  
Vesicoureteral Reflux ◽  
Endoscopic Treatment ◽  
Bovine Collagen
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