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DefinitionComputed Tomography (CT) of the genitourinary (GU) tract is a non-invasive imaging modality that utilizes X-rays and computer processing to generate detailed cross-sectional images of the urinary system, encompassing the kidneys, ureters, bladder, and adjacent structures such as the adrenal glands.PurposeCT scans of the GU tract serve several diagnostic and therapeutic purposes, including:Diagnosis of Urinary Tract Diseases: Detects kidney stones, tumors, cysts, and congenital...
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IntroductionUltrasonography, or renal ultrasound, is a noninvasive medical imaging technique that uses high-frequency sound waves to visualize the kidneys, ureters, bladder, and surrounding tissues.Indications for Urinary System UltrasonographyUrinary system ultrasonography is indicated in various clinical scenarios, such as:Kidney Stones (Urolithiasis): To detect and monitor the size and presence of kidney or urinary tract stones.Hydronephrosis: To assess the dilation of the renal pelvis and...
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[Bilateral reflux: contra "intravesical techniques"].

Anne-Karoline Ebert1

  • 1Universitätsklinikum Ulm, Klinik für Urologie und Kinderurologie, Ulm.

Aktuelle Urologie
|December 18, 2019
PubMed
Summary
This summary is machine-generated.

For reflux surgery, intravesical techniques, while preferred by parents for being less invasive, involve longer procedures, catheter times, hospital stays, and more complications than extravesical methods.

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Area of Science:

  • Urology
  • Pediatric Surgery

Background:

  • Surgical correction of reflux is common in pediatric urology.
  • Parents often prefer minimally invasive surgical options.

Purpose of the Study:

  • To compare the invasiveness and outcomes of intravesical versus extravesical techniques for bilateral reflux surgery.
  • To inform surgical decision-making and parental counseling.

Main Methods:

  • Review of surgical techniques for treating bilateral reflux.
  • Comparison of intravesical and extravesical approaches based on procedure invasiveness.

Main Results:

  • Both open surgical implantation and intravesical techniques yield good, sustainable results.
  • Intravesical techniques are associated with longer operation times, catheter dwell times, and inpatient stays.
  • Increased complications like macrohaematuria and bladder spasms are noted with intravesical methods compared to extravesical techniques.

Conclusions:

  • While intravesical techniques are considered less invasive initially, they present increased procedural demands and complication risks.
  • Surgical approach for bilateral reflux should be individualized and discussed thoroughly with parents, considering all aspects of invasiveness.