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Endoscopic trigonoplasty in pediatric patients with primary vesicoureteral reflux: preliminary report

K Okamura1, Y Yamada, Y Tsuji

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

The Journal of Urology
|July 1, 1996
PubMed

Insights

Endoscopic trigonoplasty effectively treated pediatric vesicoureteral reflux in a small study. This minimally invasive surgery resolved reflux in all patients within 12 months, with no significant complications.

Area of Science:

  • Urology
  • Pediatric Surgery
  • Minimally Invasive Surgery

Background:

  • Primary vesicoureteral reflux (VUR) is a common condition in children.
  • VUR can lead to recurrent urinary tract infections and renal scarring.
  • Surgical intervention is often necessary for moderate to severe cases.

Purpose of the Study:

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

Main Methods:

  • Endoscopic trigonoplasty was performed on 6 pediatric patients with 11 refluxing ureters.
  • Patients presented with VUR grades II to V.
  • Laparoscopic and endoscopic instruments were utilized for the procedure.

Main Results:

  • Complete resolution of vesicoureteral reflux was observed in all patients.
  • Symptom resolution occurred within 3 to 12 months post-surgery.
  • No instances of bladder irritability or upper urinary tract dilatation were noted postoperatively.

Conclusions:

  • Minimally invasive endoscopic trigonoplasty is a viable and effective surgical option.
  • This technique offers a safe and successful treatment for pediatric vesicoureteral reflux.
Abstract

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