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Updated: May 9, 2026

Treatment of Ejaculatory Duct Obstruction by Seminal Vesiculoscopy Assisted Flow Modification
Published on: December 8, 2023
[Vesico-ureteral reflux, endoscopic management].
Marco Cosentino1, Jorge Caffaratti, Ana Bujons
1Fundaciò Puigvert, carrer Cartagena, Universitat Autonoma de Barcelona, Barcelona, España. doccosentino@gmail.com
Endoscopic treatment is now the preferred method for managing vesico-ureteral reflux (VUR) in children, especially when linked to pyelonephritis or urinary tract infections (UTI). This approach effectively addresses VUR, potentially delaying the need for open surgery.
Area of Science:
- Pediatric Urology
- Nephrology
- Surgical Innovation
Context:
- Vesico-ureteral reflux (VUR) is the retrograde flow of urine from the bladder to the kidneys.
- It affects 25-70% of children with pyelonephritis and increases risk of renal scarring and chronic kidney disease.
- Primary and secondary VUR require effective management to prevent long-term renal damage.
Purpose:
- To review the literature on endoscopic treatment for VUR.
- To analyze various endoscopic techniques, biomaterials, indications, and complications.
- To synthesize current European and American guidelines on VUR management.
Summary:
- Endoscopic injection has emerged as a primary treatment for VUR, particularly in cases associated with urinary tract infections (UTI) and pyelonephritis.
- Literature review and guideline analysis support its efficacy and safety profile.
- This minimally invasive approach offers a viable alternative to open surgery.
Impact:
- Endoscopic VUR treatment is becoming the gold standard, reducing the need for invasive open surgical procedures.
- Improved outcomes in pediatric renal health by preventing complications like renal scarring.
- Provides a less invasive option for managing VUR, potentially leading to faster recovery times.
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