Abstract:
INTRODUCTION:The short-term results of endoscopic treatment of vesicoureteral reflux (VUR) are excellent. Over time, however, a number of patients have been identified for whom VUR reappeared after being resolved with this technique. The aim of this study was to analyse the factors related to this event. MATERIAL AND METHODS:A retrospective, analytical, case-control study included 395 ureteral units with primary VUR treated successfully at our centre, with a minimum follow-up of 3 years. We identified cases in which VUR reappeared and analysed the demographic variables, those related to VUR (grade, laterality, initial study) and those related to the operation (materials used). RESULTS:We identified 77 ureteral units with recurrence in the 395 included units (19.5%). The recurrence rate was 29.7% for the patients treated with dextranomer/hyaluronic acid (Dx/HA), 20.2% for those treated with polydimethylsiloxane (MP) and 12.2% for polytetrafluoroethylene (PTFE). The onset of recurrence rose to 35% for patients treated before 1 year of age and those with gradeV VUR. Urinary dysfunction symptoms also increased the recurrence rate to 34.9%. CONCLUSION:The use of resorbable dextranomer/hyaluronic acid material was related to recurrence in the endoscopic treatment of VUR. The high-grade reflux and treatment at an early age, as well as the presence of urinary dysfunction, are also factors associated with recurrence.
journal_name
Actas Urol Espjournal_title
Actas urologicas espanolasauthors
Fuentes S,Gómez-Fraile A,Carrillo-Arroyo I,Tordable-Ojeda C,Cabezalí-Barbancho D,López F,Aransay Bramtot Adoi
10.1016/j.acuro.2017.11.006subject
Has Abstractpub_date
2018-06-01 00:00:00pages
331-337issue
5eissn
0210-4806issn
1699-7980pii
S0210-4806(18)30001-9journal_volume
42pub_type
杂志文章abstract::Presentation of one case of metastatic renal adenocarcinoma with iliac bone and soft parts involvement which presented as a lumbosciatic picture. A comment is made on the different diseases which can result in painful lumbar syndrome, reaching an agreement on the need to conduct more extensive studies given the lack o...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章,评审
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journal_title:Actas urologicas espanolas
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journal_title:Actas urologicas espanolas
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journal_title:Actas urologicas espanolas
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journal_title:Actas urologicas espanolas
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