Abstract：
OBJECTIVES:The VUR is one of the most frequent pathologies in pediatric urology. Classically it has been managed with medical or surgical treatment depending on age, grade, and other variables. Over the last years, urologists have started to perform endoscopic treatment with various substances, surgery but minimally invasive. The objective of this work is to evaluate our results with this method. METHODS:Between 1996 and 2004 we performed endoscopic treatment on 41 patients (70 ureters) using different substances. We analyze VUR grade and side, improvement with one or more injections, post-operative follow-up with clinical evaluation, bladder ultrasound and voiding cystourethrogram (VCUG), and compare the long-term results of the different substances used, mainly with the evaluation of recurrences and/or urinary tract infections. RESULTS:41 patients entered the study; collagen was injected in 13 cases, Macroplastique in 14, and Deflux in 14. Twenty-nine patients underwent bilateral injection, adding up to a total of 70 injected ureters. Collagen injection had a success rate of 53% with the first injection and 77% with the second, Macroplastique success rate was 83% with the first injection and 91% with the second, and Deflux 84% on first injection and 88% with the second. Mean post-operative follow-up was 44 months, with a range of 18-86 months. 18% of the patients presented post operative UTI, they were treatment failures. There are no UTI episodes in patients after successful treatment. CONCLUSIONS:Endoscopic treatment is a useful tool in the long-term management of VUR, both as definitive treatment or as on alternative to conventional medical management, with better results when using Macroplastique and Deflux.
journal_name
Arch Esp Uroljournal_title
Archivos espanoles de urologiaauthors
Escala Aguirre JM,Cadena González Y,Retamal Pinto G,López Egaña PJ,Letelier Cancino N,Zubieta Acuña Rdoi
10.4321/s0004-06142008000200028subject
Has Abstractpub_date
2008-03-01 00:00:00pages
297-300issue
2eissn
0004-0614issn
1576-8260journal_volume
61pub_type
杂志文章abstract：:This study was conducted to assess the clinical reliability of the prostatic Urolume Wallstent for symptomatic BPH patients. One hundred patients were treated under intravenous sedation or local anesthesia. Pre- and postoperative patient evaluation included scoring of subjective symptoms, physical examination, laborat...
journal_title：Archivos espanoles de urologia
pub_type： 临床试验,杂志文章
doi：
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abstract：OBJECTIVES:Urinary pH is a decisive factor in several pathologies, there by an informative marker employed in treatment decisions. Although extensively used, the urinary pH dipstick test may not be sufficiently accurate or precise for clinical decisions and more robust methodologies need to be considered. In this study...
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journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
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journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1991-06-01 00:00:00
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journal_title：Archivos espanoles de urologia
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journal_title：Archivos espanoles de urologia
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doi：
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pub_type： 杂志文章
doi：
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