Results of Preference of Subureteric Injection or Ureteroneocystostomy As the Initial or Subsequent Surgical Intervention in Vesicoureteral Reflux

Nilsun Kuas; Umut Alıcı; Hasan Turan; Berkay Tekkanat; Baran Tokar

Makale detayları

Results of Preference of Subureteric Injection or Ureteroneocystostomy As the Initial or Subsequent Surgical Intervention in Vesicoureteral Reflux

Yazarlar:

Nilsun Kuas | Umut Alıcı | Hasan Turan | Berkay Tekkanat | Baran Tokar

Yayıncı:

Eskişehir Osmangazi University

Ana Başlıklar:

Çocuk Ürolojisi

Dergi:

Osmangazi Tıp Dergisi Vol.46 Issue 3, pp.344-350

Belge Tipi:

Makale

Yayın Tarihi:

5/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001313496

pISSN:

1305-4953

Anahtar kelimeler:

Özet:

 The incidence of vesicoretral reflux VUR in childhood is 0.4-1.8. Among the surgical treatment options, there are two different approaches: Subureteric injection SUI and ureteroneocystostomy UNC. In this study, we evaluated the operation results of patients who underwent SUI and UNC for VUR. Patients who underwent surgical treatment for vesicoureteral reflux in a tertiary university hospital between 2010-2018 were retrospectively analyzed. The surgical techniques applied to the patients, whether the procedure was successful or not, and additional interventions needed afterwards were recorded. The success rates of the two different techniques applied were compared. Of the 274 patients included in the study, 219 received SUI as the first procedure, 57 of patients did not need additional intervention. After the first SUI, 13.1 of patients underwent UNC as the second procedure. A second SUI was given to 21.2 of patients. UNC was given to 5.5 of patients who received two injections, and 4 of patients were underwent a third SUI. 59.8 patients were treated with SUI alone. Reflux was treated in 65.6 of patients with a single procedure. In VUR patients, SUI should be the first treatment choice because of its high success rate, low complication risk and not preventing UNC.

 The incidence of vesicoretral reflux VUR in childhood is 0.4-1.8. Among the surgical treatment options, there are two different approaches: Subureteric injection SUI and ureteroneocystostomy UNC. In this study, we evaluated the operation results of patients who underwent SUI and UNC for VUR. Patients who underwent surgical treatment for vesicoureteral reflux in a tertiary university hospital between 2010-2018 were retrospectively analyzed. The surgical techniques applied to the patients, whether the procedure was successful or not, and additional interventions needed afterwards were recorded. The success rates of the two different techniques applied were compared. Of the 274 patients included in the study, 219 received SUI as the first procedure, 57 of patients did not need additional intervention. After the first SUI, 13.1 of patients underwent UNC as the second procedure. A second SUI was given to 21.2 of patients. UNC was given to 5.5 of patients who received two injections, and 4 of patients were underwent a third SUI. 59.8 patients were treated with SUI alone. Reflux was treated in 65.6 of patients with a single procedure. In VUR patients, SUI should be the first treatment choice because of its high success rate, low complication risk and not preventing UNC.

 The incidence of vesicoretral reflux VUR in childhood is 0.4-1.8. Among the surgical treatment options, there are two different approaches: Subureteric injection SUI and ureteroneocystostomy UNC. In this study, we evaluated the operation results of patients who underwent SUI and UNC for VUR. Patients who underwent surgical treatment for vesicoureteral reflux in a tertiary university hospital between 2010-2018 were retrospectively analyzed. The surgical techniques applied to the patients, whether the procedure was successful or not, and additional interventions needed afterwards were recorded. The success rates of the two different techniques applied were compared. Of the 274 patients included in the study, 219 received SUI as the first procedure, 57 of patients did not need additional intervention. After the first SUI, 13.1 of patients underwent UNC as the second procedure. A second SUI was given to 21.2 of patients. UNC was given to 5.5 of patients who received two injections, and 4 of patients were underwent a third SUI. 59.8 patients were treated with SUI alone. Reflux was treated in 65.6 of patients with a single procedure. In VUR patients, SUI should be the first treatment choice because of its high success rate, low complication risk and not preventing UNC.

 Çocukluk çağında vezikoretral reflü VUR görülme sıklığı 0,4-1,8dir. Cerrahi tedavi seçenekleri arasında iki farklı yaklaşım bulunmaktadır: Subüreterik enjeksiyon SUI ve üreteroneosistostomi UNC. Bu çalışmada, VUR nedeniyle SUI ve UNC uygulanan hastaların operasyon sonuçlarını değerlendirdik. Üçüncü basamak bir üniversite hastanesinde 2010-2018 yılları arasında vezikoüreteral reflü nedeniyle cerrahi tedavi uygulanan hastalar retrospektif olarak analiz edildi. Hastalara uygulanan cerrahi teknikler, işlem başarısı ve sonrasında ihtiyaç duyulan ek müdahaleler kaydedildi. Uygulanan iki farklı tekniğin başarı oranları karşılaştırıldı. Çalışmaya dahil edilen 274 hastanın 219una ilk işlem olarak SUI uygulandı, 57 hastaya ek müdahale gerekmedi. İlk SUIden sonra hastaların 13,1ine ikinci prosedür olarak UNC uygulandı. Hastaların 21,2sine ikinci bir SUI uygulanmıştır. İki kez enjekte edilen hastaların 5,5ine UNC, 4üne ise üçüncü SUI uygulandı. Hastaların 59,8i tek başına SUI ile tedavi edildi. VUR 65,6 hastada tek işlemle tedavi edildi. VUR hastalarında SUI, yüksek başarı oranı, düşük komplikasyon riski ve UNCyi engellememesi nedeniyle ilk tedavi seçeneği olmalıdır.

Makale detayları

Results of Preference of Subureteric Injection or Ureteroneocystostomy As the Initial or Subsequent Surgical Intervention in Vesicoureteral Reflux

Yazarlar:

Nilsun Kuas | Umut Alıcı | Hasan Turan | Berkay Tekkanat | Baran Tokar

Yayıncı:

Eskişehir Osmangazi University

Ana Başlıklar:

Çocuk Ürolojisi

Dergi:

Osmangazi Tıp Dergisi Vol.46 Issue 3, pp.344-350

Belge Tipi:

Makale

Yayın Tarihi:

5/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001313496

pISSN:

1305-4953

Vesicoureteral reflux

subureteric injection

ureteroneocystostomyVezikoüreteral reflü

subüreterik enjeksiyon

üreteroneosistostomi

Sayı

Makale detayları

Results of Preference of Subureteric Injection or Ureteroneocystostomy As the Initial or Subsequent Surgical Intervention in Vesicoureteral Reflux

Yazarlar: Nilsun Kuas | Umut Alıcı | Hasan Turan | Berkay Tekkanat | Baran Tokar

Yayıncı: Eskişehir Osmangazi University

Ana Başlıklar: Çocuk Ürolojisi

Dergi: Osmangazi Tıp Dergisi Vol.46 Issue 3, pp.344-350

Belge Tipi: Makale

Yayın Tarihi: 5/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001313496

pISSN: 1305-4953

Vesicoureteral reflux

subureteric injection

ureteroneocystostomyVezikoüreteral reflü

subüreterik enjeksiyon

üreteroneosistostomi

Sayı

Yazarlar:

Nilsun Kuas | Umut Alıcı | Hasan Turan | Berkay Tekkanat | Baran Tokar

Yayıncı:

Eskişehir Osmangazi University

Ana Başlıklar:

Çocuk Ürolojisi

Dergi:

Osmangazi Tıp Dergisi Vol.46 Issue 3, pp.344-350

Belge Tipi:

Makale

Yayın Tarihi:

5/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001313496

pISSN:

1305-4953