scholarly journals VESICOURETERAL REFLUX EXPERIMENTAL AND CLINICAL STUDIES OF THE CHANGES OF VESICOURETERAL REFLUX ON UPPER URINARY TRACT

1972 ◽  
Vol 63 (10) ◽  
pp. 841-859
Author(s):  
Masahiko Goto
Keyword(s):  
Urinary Tract ◽  
Vesicoureteral Reflux ◽  
Clinical Studies ◽  
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

scholarly journals Vesicoureteral Reflux: Where Have We Been, Where Are We Now, and Where Are We Going?

2008 ◽  
Vol 2008 ◽  
pp. 1-3 ◽  
Author(s):  
Gordon A. McLorie
Keyword(s):  
Clinical Trials ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Vesicoureteral Reflux ◽  
Retrospective Review ◽  
Renal Injury ◽  
Clinical Studies ◽  
Treatment Modalities ◽  
Clinical Advances

We present a retrospective review of the scientific and clinical advances, extending over four decades, which have linked vesicoureteral reflux, with renal injury, and urinary tract infection. We have traced the original studies, coupled with advances in technology which led to the awareness, and ability to detect and diagnose the problems early in childhood. These advances progressed through clinical studies which defined the epidemiology of both reflux and urinary tract infection. Along with these diagnostic advances, there were numerous surgical developments, which allowed progressive improvements in the outcomes and effectiveness of a variety of treatment modalities. All of this literature leads us to the current era, when several clinical trials are currently underway in an effort to more fully define the most efficacious and safe methods to treat vesicoureteral reflux and associated urinary tract infection.

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.

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