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Published on: January 7, 2019

[Vesicoureteric reflux endoscopic treatment complications in childhood]

A Serrano Durba1, M A Bonillo García, F Moragues Estornell

  • 1Servicio de Urología, Hospital La Fe, Valencia.

Actas Urologicas Espanolas
|May 17, 2006
PubMed

Insights

Endoscopic treatment for childhood vesicoureteral reflux (VUR) using bulking agents is a safe and effective alternative. Complications are rare, with most cases resolving without significant issues.

Area of Science:

  • Pediatric Urology
  • Minimally Invasive Surgery
  • Medical Device Technology

Background:

  • Vesicoureteral reflux (VUR) affects approximately 1% of children, posing a risk for chronic kidney damage.
  • Endoscopic injection of bulking agents is an emerging alternative to antibiotic prophylaxis and open surgery for pediatric VUR.

Purpose of the Study:

  • To evaluate the complications associated with endoscopic bulking agent injection for treating childhood VUR.

Main Methods:

  • Retrospective analysis of 516 endoscopic VUR treatments performed between January 1999 and September 2003.
  • Ultrasound was used to assess complications, focusing on ureteral obstruction and agent migration.

Main Results:

  • 10 out of 516 patients (1.9%) experienced complications, including ureterohydronefrosis (5 cases, 2 requiring nephrostomy), implant migration (3 cases), epididymitis (1 case), and bladder edema (1 case).
  • Macroplastique was used in 8 complicated cases, and Deflux in 2.

Conclusions:

  • Endoscopic bulking agent injection is a safe and viable option for managing VUR in children.
  • The low complication rate supports its role as an alternative to traditional treatments.
Abstract

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