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Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma
06:39

Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma

Published on: November 22, 2019

[Vescio-renal reflux. Medical and surgical treatment (author's transl)]

R Gosálbez, I P Bustamante

    Anales Espanoles De Pediatria
    |July 1, 1975
    PubMed

    Insights

    Medical and surgical treatments for primary vesico-renal reflux in children show high success rates. Both approaches effectively resolve reflux, with surgery demonstrating a slightly higher resolution rate in ureters.

    Area of Science:

    • Pediatric Urology
    • Nephrology

    Background:

    • Vesico-renal reflux (VRR) is a common condition in children.
    • Primary VRR often requires management to prevent kidney damage.

    Purpose of the Study:

    • To evaluate the efficacy of medical and surgical treatments for primary vesico-renal reflux in children.
    • To compare outcomes between different management strategies.

    Main Methods:

    • Retrospective analysis of 144 children with primary VRR followed for over 2 years.
    • Assessment of reflux resolution rates following medical management (n=44) and surgical intervention (n=100).

    Main Results:

    • Medical treatment led to reflux resolution in 68% of children.
    • Surgical intervention resulted in cessation of reflux in 87% of ureters (123 out of 142).

    Conclusions:

    • Both medical and surgical interventions are effective for primary vesico-renal reflux.
    • Surgical treatment offers a high success rate in resolving reflux in pediatric patients.

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