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[Primary vesico-ureteral reflux: current therapeutic trends]
U Beseghi1, G Cerasoli, M Mori
1Divisione di Chirurgia Pediatrica Ospedale Regionale di Parma.
Acta Bio-Medica De L'Ateneo Parmense : Organo Della Societa Di Medicina E Scienze Naturali Di Parma
|January 1, 1987
Summary
This study reviews primary vesico-ureteral reflux treatments, highlighting the Cohen reimplantation procedure
Area of Science:
- Pediatric Urology
- Surgical Innovation
Background:
- Primary vesico-ureteral reflux (VUR) is a common condition in children.
- Management strategies range from conservative observation to surgical intervention.
Purpose of the Study:
- To discuss current indications for conservative versus surgical management of primary VUR.
- To evaluate the efficacy and reliability of the Cohen reimplantation procedure.
- To address specific challenges and controversies in VUR treatment.
Main Methods:
- Review of recent clinical experience with primary VUR.
- Analysis of surgical outcomes, focusing on the Cohen reimplantation technique.
- Discussion of specific patient populations (e.g., solitary kidney) and surgical approaches (e.g., bilateral procedures).
Main Results:
- The Cohen reimplantation procedure demonstrates high reliability for VUR treatment.
- Recent trends support expanding surgical indications due to excellent outcomes.
- Specific challenges like reflux in solitary kidneys require careful consideration.
Conclusions:
- The Cohen reimplantation procedure is a highly reliable surgical option for primary VUR.
- Expanded indications for surgery are justified by the excellent results achieved with this method.
- Careful consideration of individual patient factors and surgical techniques is crucial for optimal management.