Related Experiment Videos
Concentrating ability after antireflux operation
Insights
Assessing children after reflux surgery requires evaluating functional, bacteriological, and radiologic outcomes. Concentrating ability is a sensitive short-term indicator, with ureteral reimplantation showing no persistent reflux but a 7% obstruction rate.
Area of Science:
- Pediatric Surgery
- Urology
- Nephrology
Background:
- Surgical correction of reflux in children necessitates comprehensive assessment.
- Evaluating functional, bacteriological, and radiologic outcomes is crucial for patient care.
Purpose of the Study:
- To assess short-term and long-term outcomes of surgical reflux correction in pediatric patients.
- To determine the efficacy of concentrating ability as a sensitive indicator compared to creatinine clearance.
- To report the results of ureteral reimplantation procedures in children.
Main Methods:
- Retrospective analysis of 59 ureteral reimplantations in 36 children.
- Short-term assessment using concentrating ability and creatinine clearance.
- Long-term evaluation of functional, bacteriological, and radiologic results.
Main Results:
- Concentrating ability emerged as a more sensitive short-term indicator of surgical benefit or harm than creatinine clearance.
- No cases of persistent reflux were observed post-surgery.
- A 7% obstruction rate was recorded following ureteral reimplantation.
Conclusions:
- Concentrating ability is a valuable short-term metric for assessing outcomes after pediatric reflux surgery.
- Ureteral reimplantation demonstrates favorable outcomes regarding persistent reflux.
- Monitoring for obstruction is essential after ureteral reimplantation in children.
Abstract:
Children undergoing surgical correction of reflux require short-term and long-term assessment of the functional, bacteriological and radiologic results. In short-term assessment concentrating ability may be a more sensitive indicator of benefit or harm than creatinine clearance. There were no cases of persistent reflux and a 7 per cent obstruction rate in 59 ureteral reimplantations in 36 children.