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[Endoscopic treatment of vesicoureteral reflux in children]
Insights
Endoscopic correction is an effective treatment for vesicoureteral reflux (VUR) in children. The bulking agent "Vantris" demonstrated high success rates, establishing endoscopic correction as a primary treatment option for VUR.
Area of Science:
- Pediatric Urology
- Minimally Invasive Surgery
Background:
- Vesicoureteral reflux (VUR) is a common ureter-vesical defect in children.
- Complications include recurrent pyelonephritis and reflux nephropathy.
- Minimally invasive treatment strategies are a priority in pediatric urology.
Purpose of the Study:
- To evaluate the effectiveness of endoscopic correction for VUR in children.
- To compare different bulking agents used in endoscopic VUR treatment.
- To identify patient groups where endoscopic correction is most suitable.
Main Methods:
- Comparative analysis of endoscopic correction outcomes for VUR in pediatric patients.
- Evaluation of different bulking agents, specifically focusing on "Vantris".
- Assessment of VUR treatment success based on patient age and ureteral orifice structure.
Main Results:
- Endoscopic correction of VUR is a highly effective surgical procedure.
- The bulking agent "Vantris" yielded a high number of positive treatment results.
- Patients with VUR and normal appearing orifices unresponsive to endoscopic correction were identified.
Conclusions:
- Endoscopic correction is a successful treatment for pediatric VUR.
- "Vantris" is an effective bulking agent for VUR endocorrection.
- Endoscopic correction can be considered an initial treatment for VUR, particularly in cases with normal orifice structures.
Abstract:
The one of the most common defects of the ureter-vesical segment in children is the condition, leading to a disorder of obturative function of this segment. Complications of vesicoureteral reflux include continuously recurrent pyelonephritis, reflux nephropathy. In this regard, the choice of the optimal treatment strategy based on minimal invasion is considered as one of the priorities of pediatric urology. The article presents the data obtained during the treatment of VUR in children of different ages in the Clinic of Reproductive Health FSBSI SCCH. A comparative evaluation of the results of endoscopic correction of vesicoureteral reflux depending on the kind of the bulking agent was performed. It was found that the use of endocorrection of reflux is highly effective surgical procedure, with the high number of positive results against the background of use of bulking agent "vantris". The study discriminates a group of patients with vesicoureteral reflux, intractable for endoscopic correction with cystoscopically normal structure of the orifices that allows to refer this method to the initial stage of treatment of the disease.
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