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Related Experiment Videos

Endoscopic trigonoplasty for primary vesico-ureteric reflux

K Okamura1, Y Ono, Y Yamada

  • 1Department of Urology, Nagoya University, School of Medicine, Komaki Shimin Hospital, Japan.

British Journal of Urology
|March 1, 1995
PubMed
Summary

Endoscopic trigonoplasty effectively treated primary vesicoureteric reflux (VUR) in 12 patients. This minimally invasive surgery achieved a high cure rate with no post-operative obstruction, demonstrating its feasibility.

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Area of Science:

  • Urology
  • Pediatric Surgery

Background:

  • Primary vesicoureteric reflux (VUR) is a condition requiring effective treatment.
  • Endoscopic surgical techniques offer minimally invasive options for urological conditions.

Purpose of the Study:

  • To evaluate the surgical outcomes of endoscopic trigonoplasty for primary VUR.
  • To assess the efficacy and safety of this minimally invasive approach.

Main Methods:

  • Retrospective review of 12 patients (11 female, 1 child) undergoing endoscopic trigonoplasty.
  • Procedure involved urethral approach to approximate ureteric orifices and abdominal trocars for pneumobladder.
  • 15 renoureteric units with VUR grades I-III were treated.

Main Results:

Related Experiment Videos

  • Vesicoureteric reflux was eradicated in all patients.
  • Mean surgical time decreased with experience.
  • Minimal post-operative complications and no upper urinary tract dilatation observed.

    • Conclusions:

    • Endoscopic trigonoplasty is a minimally invasive procedure with a high cure rate for VUR.
    • Preservation of the vesicoureteric junction prevents post-operative obstruction.
    • This technique is a feasible option for managing VUR.