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[Computerized retrospective study of 141 children operated on for vesico-ureteral reflux]
Insights
Early treatment of pediatric vesicoureteral reflux (VUR) using Cohen
Area of Science:
- Pediatric Urology
- Nephrology
- Radiology
Context:
- Vesicoureteral reflux (VUR) affects children, increasing risks of urinary tract infections and kidney damage.
- Cohen's method is a surgical approach for VUR correction.
- Long-term outcomes and influencing factors require further investigation.
Purpose:
- To evaluate the long-term efficacy of Cohen's method for VUR in children.
- To analyze the impact of various factors on renal parenchymal measurements post-treatment.
- To determine the optimal timing for VUR intervention.
Summary:
- A 5-year follow-up study assessed 141 children under 10 treated for VUR with Cohen's method.
- Renal parenchymal measurements (using Hodson's method) were analyzed based on VUR type, age, sex, infection history, and treatment delay.
- Results indicate that earlier treatment correlates with better functional outcomes.
Impact:
- Provides evidence supporting early surgical intervention for pediatric VUR.
- Informs clinical decision-making regarding treatment timing and management strategies.
- Contributes to understanding long-term renal health in treated VUR patients.
Abstract:
Follow-up study of 141 cases of vesico-ureteric reflux (less than 10 years old) treated by Cohen's method. Computerized study, 5 years after treatment, with analysis of the influence of different parameters (type of VUR, age, sex, urinary infection or not, space of time between diagnosis and treatment) on the renal parenchymal radiographic measurements ( Hodson 's method). The youngest is the child when he is treated, the best is the functional result.