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Updated: Jul 28, 2026
08:09
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Vesicoureteral reflux: surgical approaches
J Christopher Austin1, Christopher S Cooper
1Division of Pediatric Urology, Department of Urology, The University of Iowa College of Medicine, Children's Hospital of Iowa, 3120 RCP, 200 Hawkins Drive, Iowa City, IA 52242-1089, USA. chris-austin@uiowa.edu
The Urologic Clinics of North America
|August 18, 2004
Summary
Vesicoureteral reflux treatments have shifted from surgery to nonoperative options. Endoscopic correction with new injectable implants offers a minimally invasive alternative to open surgery for children.
Area of Science:
- Pediatric Urology
- Surgical Innovation
Background:
- Vesicoureteral reflux (VUR) treatment has evolved significantly over 50 years.
- Historically, surgical correction was primary, but nonoperative management is now common.
- Debate continues regarding the optimal approach: surgical versus medical management.
Purpose of the Study:
- To review evolving surgical techniques for VUR.
- To discuss postoperative management and complications.
- To analyze outcomes of various endoscopic implants for VUR correction.
Main Methods:
- Review of historical and current VUR treatment modalities.
- Analysis of surgical correction techniques.
- Evaluation of endoscopic implant procedures and outcomes.
Main Results:
- Surgical techniques for VUR are highly effective.
- New injectable implants (dextranomer/hyaluronic acid) offer a minimally invasive endoscopic option.
- Endoscopic correction is a viable alternative to open surgery.
Conclusions:
- Treatment for VUR has shifted towards less invasive methods.
- Endoscopic correction with new implants represents a significant advancement.
- Further research and long-term outcome analysis of endoscopic treatments are warranted.
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