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Elena Tamarkina1, Mohammed El-Sherbiny, Roman Jednak

  • 1Division of Pediatric Urology, Montréal Children's Hospital, McGill University Health Centre, Montréal, Que.

Canadian Urological Association Journal = Journal De L'Association Des Urologues Du Canada
|June 23, 2009
PubMed
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Performing subureteric injection (STING) during incidental anesthesia for vesicoureteral reflux (VUR) in children is a safe and effective alternative. This approach minimizes anesthetic risks and offers a favorable cost-benefit for VUR management.

Area of Science:

  • Pediatric Urology
  • Minimally Invasive Surgery

Background:

  • Subureteric injection (STING) for vesicoureteral reflux (VUR) is increasingly utilized.
  • Concerns exist regarding general anesthesia morbidity in pediatric STING procedures.
  • An alternative approach is to perform STING during incidental anesthesia for other surgical needs.

Purpose of the Study:

  • To evaluate the efficacy and safety of performing STING during incidental anesthesia in children.
  • To assess the feasibility of this approach in reducing anesthetic-related risks.

Main Methods:

  • Retrospective review of 10 pediatric patients undergoing incidental dextranomer/hyaluronic acid copolymer (DHA) injection over a 2-year period.
  • Analysis of treatment outcomes and complications following a single STING procedure.

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Main Results:

  • Successful VUR treatment was observed in 80% of patients after a single STING procedure.
  • VUR grades included high (50%), moderate (30%), and low (20%).
  • No complications were reported during or after the incidental STING procedures.

Conclusions:

  • Performing STING in children under incidental anesthesia is a viable option for VUR management.
  • This strategy reduces potential morbidity associated with primary anesthesia for STING.
  • The long-term efficacy of DHA requires further study, but this method presents a favorable cost-benefit.