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Delayed recurrence of reflux after initial success of antireflux operation
Insights
Delayed recurrence of reflux occurred in 4% of children after ureteral reimplantation for vesicoureteral reflux. Long-term follow-up is crucial to detect and manage these late recurrences effectively.
Area of Science:
- Pediatric Urology
- Surgical Outcomes
- Reflux Management
Background:
- Vesicoureteral reflux (VUR) is a common condition in children.
- Ureteral reimplantation is a standard surgical treatment for VUR.
- Long-term outcomes and potential for delayed recurrence require further investigation.
Purpose of the Study:
- To evaluate the incidence of delayed recurrence of VUR after ureteral reimplantation.
- To assess the effectiveness of reoperation for recurrent VUR.
- To determine the necessity of prolonged postoperative follow-up.
Main Methods:
- Retrospective analysis of 103 children who underwent ureteral reimplantation for VUR.
- Initial success confirmed by two cystographic series 3 months apart.
- Follow-up for at least 5 years post-surgery.
Main Results:
- Delayed VUR recurrence was observed in 4 out of 103 children (3.9%) within the 5-year follow-up period.
- Reoperation successfully corrected recurrent VUR in 2 children.
- One reoperation failed, and one is pending.
Conclusions:
- Delayed recurrence of VUR can occur after successful ureteral reimplantation.
- Prolonged postoperative follow-up (at least 5 years) is recommended for children treated with ureteral reimplantation.
- Early detection and management of recurrent VUR are essential for optimal outcomes.
Abstract:
Delayed recurrence of reflux was discovered in 4 children among 103 who were followed at least 5 years after ureteral reimplantation for treatment of vesicoureteral reflux. In each of the 103 children initial success in correction of reflux was proved by 2 cystographic series performed 3 months apart after the initial ureteral reimplantation. Reoperation was successful in correction of the recurrent reflux in 2 children, failed in 1 and has been attempted in 1. Prolonged postoperative followup (to at least 5 years) is recommended after ureteral reimplantation for treatment of vesicoureteral reflux.