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Endoscopic treatment of vesicoureteral reflux in a paediatric surgery ambulatory unit

Fernando Rivilla1

  • 1Division of Paediatric and Urology Surgery, San Carlos University Hospital, Madrid, Spain.

Journal of Minimal Access Surgery
|April 28, 2011
PubMed

Insights

Endoscopic treatment (ET) effectively resolves pediatric vesicoureteral reflux (VUR), with a 90% success rate after two Deflux injections. This minimally invasive approach offers low post-operative morbidity for children.

Area of Science:

  • Pediatric Urology
  • Minimally Invasive Surgery
  • Urologic Therapeutics

Background:

  • Vesicoureteral reflux (VUR) affects 1-3% of healthy children, posing a significant urological challenge.
  • VUR management in pediatric populations requires effective and minimally invasive treatment options.

Purpose of the Study:

  • To evaluate the efficacy and safety of endoscopic treatment (ET) for pediatric vesicoureteral reflux (VUR).
  • To analyze outcomes based on reflux grade, laterality, and number of treatment sessions.

Main Methods:

  • Retrospective analysis of 38 children (ages 1-12) undergoing ET for VUR.
  • Data collected included age, sex, reflux grade, laterality, and post-operative course.
  • All procedures were performed on an ambulatory surgery basis.

Main Results:

  • Successful VUR resolution in 76% of children (70% of ureters) after one ET.
  • A second ET achieved resolution in an additional 12% of ureters, resulting in a 90% overall success rate.
  • Bilateral VUR was present in 63% of patients, involving 62 renal units.

Conclusions:

  • Endoscopic treatment (ET) is a primary choice for managing pediatric VUR due to high success rates and low morbidity.
  • Ambulatory surgery setting enhances the feasibility and patient experience of ET for VUR.
  • The study highlights the effectiveness of Deflux in achieving high success rates for VUR resolution.
Abstract

Keywords:
Endoscopic treatmentpaediatric ambulatory surgerypaediatric day surgeryvesicoureteral reflux

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