Year: 2021
Type: Article
Title: Indications for operation and results from surgical treatment of vesicoureteral reflux
Author: Ceku, Gani
Author: Petrovski, Mile
Author: Memeti, Shaban
Author: Hyseni, Nexhmi
Author: Statovci, Sejdi
Author: Berisha, Blerim
Abstract: The main objective of this retrospective study was to evaluate the value of surgical approach in the treatment of children with vesicoureteral reflux (VUR). Material and method: The study was conducted in the period from January 2006 to December 2014, and included children with symptomatic VUR, who were surgically treated. A total of 72 children were treated, of whom 56 were females and 16 were males, aged between 2 and 16 years. They were treated with IV and V grade reflux ureters. Thirty-two of the unilateral refluxes were left-sided, 18 right-sided and 22 both-sided. VUR was diagnosed with Voiding cystourethrography (VCUG). Cohen technique was performed in 64 (90%) patients, Politano-Lead better technique in 4 (5%) patients and Lich-Gregoir technique in 4 (5%) patients. Results: Out of the 72 treated patients, 69 had a postoperative negative finding of VUR on the performed VCUG, indicating a high 95% success rate. In three girls, persistent postoperative reflux was found in postoperative VCUG. In the first patient persistent VUR was unilateral, of V grade. In the second patient, a third-degree VUR was found and the third patient was diagnosed with II grade VUR. Postoperatively, non-febrile UTIs (urinary tract infections) were diagnosed in 23 patients (20 female children and 3 male children) out of 72 patients in total. One female child was hospitalized with febrile UTI and 8 patients or 10% developed febrile UTI within one year of the operative treatment. Conclusion: Open surgery, despite excellent results, is used for more complicated cases, VUR grade IV – V or in previously failed cases, and it does not appear to provide definitive correction of VUR in all patients and does not prevent certain low incidence of UTI postoperatively. Non-febrile UTIs can occur several years after a surgical correction. Endoscopic treatment is an alternative treatment for VUR.
Publisher: Scientific Foundation SPIROSKI
Relation: Archives of Public Health
Identifier: oai:repository.ukim.mk:20.500.12188/28248
Identifier: http://hdl.handle.net/20.500.12188/28248Identifier: 10.3889/aph.2021.6009
Identifier: https://www.id-press.eu/aph/article/download/6009/5528Identifier: https://www.id-press.eu/aph/article/download/6009/5504Identifier: 13
Identifier: 2
Identifier: 110
Identifier: 119
