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History of endoscopic treatment of vesicoureteral reflux

Balazs Kutasy1, David Coyle2

  • 1Department of Paediatric Urology, Karolinska University Hospital, Solna, 17176, Stockholm, Sweden. balazs.kutasy@regionstockholm.se.

Pediatric Surgery International
|April 25, 2023
PubMed

Insights

Endoscopic subureteral injection is a popular, safe, and effective minimally invasive treatment for vesicoureteral reflux (VUR) in children, offering an alternative to antibiotics and surgery.

Area of Science:

  • Pediatric Urology
  • Minimally Invasive Surgery
  • Medical Device Technology

Background:

  • Vesicoureteral reflux (VUR) in children traditionally managed with antibiotics or surgery.
  • Endoscopic subureteral injection emerged as a less invasive alternative in 1984.
  • Growing popularity and adoption of the endoscopic procedure worldwide.

Purpose of the Study:

  • To review the historical development and evolution of endoscopic treatment for VUR in children.
  • To highlight the increasing significance of minimally invasive techniques in pediatric urology.

Main Methods:

  • Review of historical data and clinical applications of endoscopic subureteral injection for VUR.
  • Analysis of safety and long-term efficacy studies.
  • Examination of treatment trends in pediatric VUR management.

Main Results:

  • Endoscopic subureteral injection is a safe and effective day-care procedure.
  • Demonstrated long-term efficacy, leading to widespread adoption.
  • Accounts for nearly 90% of VUR surgical treatments in Sweden.

Conclusions:

  • Endoscopic subureteral injection has become a primary treatment modality for pediatric VUR.
  • Minimally invasive outpatient procedures offer significant advantages over traditional methods.
  • The technique's development reflects advancements in pediatric urological interventions.

Keywords:
Endoscopic treatmentHistorical aspectsInjection therapySTINGVesicoureteral reflux

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