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An all-endo Approach to Complete Ureteral Duplications Complicated by Ureterocele andor Vesicoureteral Reflux : Feasibility, Limitations, and Results
Joint Authors
Olivieri, C.
Briganti, V.
Calisti, A.
Fabbri, R.
Perrotta, M. L.
Oriolo, L.
Coletta, R.
Source
International Journal of Pediatrics
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-12-14
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Purpose.
Totally endoscopic management (all-endo) of patients with a duplicated renal system (DS) associated with severe vesicoureteral reflux (VUR) or obstructive ureterocele (UC) is an attractive alternative to traditional open procedures.
The authors discuss feasibility and results of an all-endo approach on a consecutive series of patients.
Methods.
From 1999 to 2009, all patients with a complete DS associated with UC and/or VUR were proposed for primary all-endo approach.
UC puncture was performed using a 3 Fr Bugbee electrode.
Deflux (dextranomer/hyaluronic acid copolymer) injection was administered for VUR.
The need for secondary surgery was evaluated on followup.
Results.
Of the 62 patients recruited, 46 were treated using a primary all-endo approach and 16 patients received no treatment.
Of the 46 treated patients with 56 affected renal units, 32 (97%) UCs collapsed following puncture and 29 (63%) VURs were resolved or downgraded.
Secondary VUR occurred in 13 (39%) renal units.
Secondary surgery was performed on 23 (41%) renal units.
Conclusion.
The all-endo approach for VUR in DS is an effective therapeutic option.
UC collapse was achieved by puncture in most of the patients; secondary VUR was the main complication in a small group of extravesical UC.
American Psychological Association (APA)
Calisti, A.& Perrotta, M. L.& Coletta, R.& Olivieri, C.& Briganti, V.& Oriolo, L.…[et al.]. 2011. An all-endo Approach to Complete Ureteral Duplications Complicated by Ureterocele andor Vesicoureteral Reflux : Feasibility, Limitations, and Results. International Journal of Pediatrics،Vol. 2011, no. 2011, pp.1-4.
https://search.emarefa.net/detail/BIM-446536
Modern Language Association (MLA)
Calisti, A.…[et al.]. An all-endo Approach to Complete Ureteral Duplications Complicated by Ureterocele andor Vesicoureteral Reflux : Feasibility, Limitations, and Results. International Journal of Pediatrics No. 2011 (2011), pp.1-4.
https://search.emarefa.net/detail/BIM-446536
American Medical Association (AMA)
Calisti, A.& Perrotta, M. L.& Coletta, R.& Olivieri, C.& Briganti, V.& Oriolo, L.…[et al.]. An all-endo Approach to Complete Ureteral Duplications Complicated by Ureterocele andor Vesicoureteral Reflux : Feasibility, Limitations, and Results. International Journal of Pediatrics. 2011. Vol. 2011, no. 2011, pp.1-4.
https://search.emarefa.net/detail/BIM-446536
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-446536