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The Modified Gil-Vernet Antireflux Surgery: A Successful Technique for High-Grade Vesicoureteral Reflux Correction in

Mahmoudreza Moradi1, Abolhassan Seyedzadeh2, Saeed Gharakhloo3

  • 1Professor in Pediatric Urology, Chairman of Urology Department in Imam Reza Hospital, Chairman of Regenerative Medicine Research Center (RMRC), Kermanshah University of Medical Sciences, Kermanshah, Iran.

Advances in Urology
|November 14, 2018
PubMed

Insights

Modified Gil-Vernet antireflux surgery effectively corrects high-grade vesicoureteral reflux (VUR) in children. This safe and simple technique demonstrated a high success rate in a retrospective study.

Area of Science:

  • Pediatric Urology
  • Surgical Techniques
  • Urologic Anomalies

Background:

  • Vesicoureteral reflux (VUR) is a prevalent congenital condition in pediatric patients.
  • Various surgical interventions exist for VUR management, including the modified Gil-Vernet antireflux surgery.

Purpose of the Study:

  • To assess the efficacy and safety of the modified Gil-Vernet antireflux surgery.
  • To evaluate the outcomes of this technique in correcting high-grade VUR.

Main Methods:

  • A retrospective analysis of patients who underwent modified Gil-Vernet antireflux surgery between 2000 and 2016.
  • Evaluation of efficacy, safety, and complications in 183 patients with 290 refluxing units (grade IV or V).

Main Results:

  • Successful correction of high-grade VUR in 95.86% of refluxing units and 95.62% of patients.
  • The study included 183 patients, with 76 (41.54%) having unilateral and 107 (58.46%) having bilateral VUR.

Conclusions:

  • Modified Gil-Vernet antireflux surgery is a simple, safe, and successful option for high-grade VUR.
  • The technique allows for simultaneous correction of bilateral VUR, making it a rational choice.
  • Results align with other established VUR correction techniques.
Abstract

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