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[A method of surgery in bilateral vesico-ureteral reflux in children with a double ureter]
Urologiia I Nefrologiia
|January 1, 1989
Insights
A novel surgical technique for bilateral ureteral reimplantation effectively treated vesico-ureteral reflux in children. This method, involving a common submucosal tunnel, showed excellent anti-reflux outcomes in a small patient cohort.
Area of Science:
- Urology
- Pediatric Surgery
- Surgical Innovation
Context:
- Vesico-ureteral reflux (VUR) is a common condition in children, potentially leading to kidney infections and damage.
- Traditional ureteral reimplantation techniques aim to restore normal ureteral anatomy and function.
- Managing bilateral VUR often requires precise surgical intervention to prevent complications.
Purpose:
- To introduce and evaluate an original surgical method for bilateral ureteral transplantation in pediatric patients with VUR.
- To assess the efficacy of placing multiple ureters (3 or 4) within a single submucosal canal for reflux prevention.
- To determine the anti-reflux success rate of this technique through clinical and radiological follow-up.
Summary:
- A new bilateral ureteral transplantation technique was developed, utilizing a common submucosal canal for 3 or 4 ureters.
- The procedure was performed on seven pediatric patients diagnosed with vesico-ureteral reflux.
- Clinical assessment and radiological imaging confirmed a successful anti-reflux outcome in all treated cases.
Impact:
- This innovative surgical approach offers a potentially effective solution for complex bilateral VUR cases.
- The described technique may provide a minimally invasive and efficient option for pediatric urologists.
- Successful management of VUR can prevent recurrent urinary tract infections and preserve renal function in children.
Abstract:
An original method of bilateral ureteral transplantation for vesico-ureteral reflux is proposed. The technique described, based on 3 or 4 ureters being placed in a common submucosal canal, was used in 7 children. Clinical and radiologic follow-up demonstrated a good anti-reflux effect.