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Reflux in cystoplasties

Rosalia Misseri1, David H Rosenbaum, Richard C Rink

  • 1Pediatric Urology, James Whitcomb Riley Hospital for Children, Indiana University School of Medicine, Indianapolis 46202, USA. rmisseri@iupui.ed

Archivos Espanoles De Urologia
|May 22, 2008
PubMed

Insights

Vesicoureteral reflux (VUR) treatment during bladder augmentation is debated, especially for neuropathic bladders. This review examines literature and experience regarding reimplantation strategies for VUR in augmentation cystoplasty patients.

Area of Science:

  • Pediatric Urology
  • Nephrology
  • Surgical Innovation

Background:

  • Vesicoureteral reflux (VUR) is common in pediatric urology.
  • Controversy exists regarding ureteral reimplantation during bladder augmentation, particularly for neuropathic bladders.
  • Neuropathic bladders can cause VUR due to high detrusor pressure, infections, or ureterovesical junction dysfunction.

Purpose of the Study:

  • To review the literature and present clinical experience on managing VUR in patients undergoing augmentation cystoplasty.
  • To address the debate surrounding ureteral reimplantation in VUR patients with neuropathic bladders undergoing bladder augmentation.

Main Methods:

  • Literature review of VUR treatment in augmentation cystoplasty.
  • Analysis of clinical experience with VUR management in this patient cohort.

Main Results:

  • Treatment approaches for VUR in augmentation cystoplasty vary, including routine reimplantation, selective reimplantation based on reflux grade, or no anti-reflux surgery.
  • The optimal strategy for VUR in neuropathic bladders undergoing augmentation cystoplasty remains a subject of ongoing discussion.

Conclusions:

  • The management of VUR in patients undergoing augmentation cystoplasty, especially those with neuropathic bladders, requires careful consideration of multiple factors.
  • Further research and evidence are needed to establish definitive guidelines for VUR treatment in this complex patient population.

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