Ureteroneocystostomy after failed dextranomer/hyaluronic acid copolymer injection for vesicoureteral reflux treatment
Abstract Purpose To report our experience of open ureteroneocystostomy after failed endoscopic treatment. Material and methods Clinical charts of 787 children who entered our dextranomer/hyaluronic acid copolymer (DxHA) endoscopic injection program for vesicoureteral reflux (VUR) treatment between M...
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| Veröffentlicht in: | Journal of pediatric urology 2013-10, Vol.9 (5), p.665-669 |
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| creator | Moreira-Pinto, João Osório, Angélica Pereira, Joana Sousa, Catarina Ribeiro de Castro, João Luís Réis, Armando |
| description | Abstract Purpose To report our experience of open ureteroneocystostomy after failed endoscopic treatment. Material and methods Clinical charts of 787 children who entered our dextranomer/hyaluronic acid copolymer (DxHA) endoscopic injection program for vesicoureteral reflux (VUR) treatment between May 2000 and December 2009 were reviewed. Fifty-one of these patients were submitted to open ureteroneocystostomy for complete resolution of VUR. Results Twenty-eight patients (55%) were female. Median age at surgery was 65 months (range: 26–182). Median time going from first endoscopic injection until open surgery was 13 months (range 1–58). Surgical ureteral reimplantation was bilateral in 62.7% of the cases. Of a total of 83 operated ureters, nine were duplex ureters, nine were megaureters, six were ectopic, and two had periureteral diverticulum. Mean operative time was 70 min (range 45–120 min). There were no intra-operative complications. Follow-up VCUG showed complete resolution of VUR in 98% of patients. There was only one right-sided grade III VUR that persisted after bilateral reimplantation. It resolved with a single subureteral DxHA injection. Conclusions Ureteroneocystostomy after a failed endoscopic treatment can achieve successful results in a high percentage of patients with minimal complications. |
| doi_str_mv | 10.1016/j.jpurol.2012.07.021 |
| format | Article |
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Material and methods Clinical charts of 787 children who entered our dextranomer/hyaluronic acid copolymer (DxHA) endoscopic injection program for vesicoureteral reflux (VUR) treatment between May 2000 and December 2009 were reviewed. Fifty-one of these patients were submitted to open ureteroneocystostomy for complete resolution of VUR. Results Twenty-eight patients (55%) were female. Median age at surgery was 65 months (range: 26–182). Median time going from first endoscopic injection until open surgery was 13 months (range 1–58). Surgical ureteral reimplantation was bilateral in 62.7% of the cases. Of a total of 83 operated ureters, nine were duplex ureters, nine were megaureters, six were ectopic, and two had periureteral diverticulum. Mean operative time was 70 min (range 45–120 min). There were no intra-operative complications. Follow-up VCUG showed complete resolution of VUR in 98% of patients. There was only one right-sided grade III VUR that persisted after bilateral reimplantation. It resolved with a single subureteral DxHA injection. Conclusions Ureteroneocystostomy after a failed endoscopic treatment can achieve successful results in a high percentage of patients with minimal complications.</description><identifier>ISSN: 1477-5131</identifier><identifier>EISSN: 1873-4898</identifier><identifier>DOI: 10.1016/j.jpurol.2012.07.021</identifier><identifier>PMID: 22906586</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adolescent ; Biocompatible Materials ; Child ; Child, Preschool ; Ciências Médicas ; Cystostomy ; Cystostomy - methods ; Dextranomer/hyaluronic acid copolymer ; Dextrans ; Dextrans - administration & dosage ; Endoscopy ; Female ; Humans ; Hyaluronic Acid ; Hyaluronic Acid - administration & dosage ; Infant ; Injections ; Injections - methods ; Male ; Medicina Básica ; Pediatrics ; Preschool ; Retreatment ; Retrospective Studies ; Science & Technology ; Treatment Failure ; Ureteroneocystostomy ; Ureterostomy ; Ureterostomy - methods ; Urology ; Urteral reimplantation ; Vesico-Ureteral Reflux - drug therapy ; Vesico-Ureteral Reflux - surgery ; Vesicoureteral reflux</subject><ispartof>Journal of pediatric urology, 2013-10, Vol.9 (5), p.665-669</ispartof><rights>Journal of Pediatric Urology Company</rights><rights>2012 Journal of Pediatric Urology Company</rights><rights>Copyright © 2012 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-2245d518bd95d1a44cdb24f7a8040402a0c0c84e9df88e45bb45df0164e8e8673</citedby><cites>FETCH-LOGICAL-c442t-2245d518bd95d1a44cdb24f7a8040402a0c0c84e9df88e45bb45df0164e8e8673</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpurol.2012.07.021$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22906586$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Moreira-Pinto, João</creatorcontrib><creatorcontrib>Osório, Angélica</creatorcontrib><creatorcontrib>Pereira, Joana</creatorcontrib><creatorcontrib>Sousa, Catarina</creatorcontrib><creatorcontrib>Ribeiro de Castro, João Luís</creatorcontrib><creatorcontrib>Réis, Armando</creatorcontrib><title>Ureteroneocystostomy after failed dextranomer/hyaluronic acid copolymer injection for vesicoureteral reflux treatment</title><title>Journal of pediatric urology</title><addtitle>J Pediatr Urol</addtitle><description>Abstract Purpose To report our experience of open ureteroneocystostomy after failed endoscopic treatment. Material and methods Clinical charts of 787 children who entered our dextranomer/hyaluronic acid copolymer (DxHA) endoscopic injection program for vesicoureteral reflux (VUR) treatment between May 2000 and December 2009 were reviewed. Fifty-one of these patients were submitted to open ureteroneocystostomy for complete resolution of VUR. Results Twenty-eight patients (55%) were female. Median age at surgery was 65 months (range: 26–182). Median time going from first endoscopic injection until open surgery was 13 months (range 1–58). Surgical ureteral reimplantation was bilateral in 62.7% of the cases. Of a total of 83 operated ureters, nine were duplex ureters, nine were megaureters, six were ectopic, and two had periureteral diverticulum. Mean operative time was 70 min (range 45–120 min). There were no intra-operative complications. Follow-up VCUG showed complete resolution of VUR in 98% of patients. There was only one right-sided grade III VUR that persisted after bilateral reimplantation. It resolved with a single subureteral DxHA injection. Conclusions Ureteroneocystostomy after a failed endoscopic treatment can achieve successful results in a high percentage of patients with minimal complications.</description><subject>Adolescent</subject><subject>Biocompatible Materials</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Ciências Médicas</subject><subject>Cystostomy</subject><subject>Cystostomy - methods</subject><subject>Dextranomer/hyaluronic acid copolymer</subject><subject>Dextrans</subject><subject>Dextrans - administration & dosage</subject><subject>Endoscopy</subject><subject>Female</subject><subject>Humans</subject><subject>Hyaluronic Acid</subject><subject>Hyaluronic Acid - administration & dosage</subject><subject>Infant</subject><subject>Injections</subject><subject>Injections - methods</subject><subject>Male</subject><subject>Medicina Básica</subject><subject>Pediatrics</subject><subject>Preschool</subject><subject>Retreatment</subject><subject>Retrospective Studies</subject><subject>Science & Technology</subject><subject>Treatment Failure</subject><subject>Ureteroneocystostomy</subject><subject>Ureterostomy</subject><subject>Ureterostomy - methods</subject><subject>Urology</subject><subject>Urteral reimplantation</subject><subject>Vesico-Ureteral Reflux - drug therapy</subject><subject>Vesico-Ureteral Reflux - surgery</subject><subject>Vesicoureteral reflux</subject><issn>1477-5131</issn><issn>1873-4898</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkk2P1iAQxxujcdfVb2AMRy_tAqUtvZiYzfqSbOJB90woTCOVlgr0yfbbO49dPXgxkDCB_7zwmymK14xWjLL2eqqmdYvBV5wyXtGuopw9KS6Z7OpSyF4-RVt0Xdmwml0UL1KaKK07yvvnxQXnPW0b2V4W232EDDEsEMyecsA970SPeEdG7TxYYuEhR72EGeL19117TLo4Q7RxlpiwBr_jC3HLBCa7sJAxRHKC5EzYfsfWnkQY_fZAcgSdZ1jyy-LZqH2CV4_nVXH_4fbbzafy7svHzzfv70ojBM8l56KxDZOD7RvLtBDGDlyMnZZU4OKaGmqkgN6OUoJohgH1I8IRIEG2XX1VvD3irjH83CBlNbtkwHuN_92SYoL3bS2lFCgVh9TEkBIWrNboZh13xag6A1eTOoCrM3BFO4XA0e3NY4ZtmMH-dfpDGAXkEESj9aoinFzKGlNLzlXLWdug5N0hAURxchBVMg4WA9ZFZKpscP8r4t8AxjvskfY_YIc0YSMWxKyYSuijvp7n4jwWjFPKqeT1Lwyjtr8</recordid><startdate>20131001</startdate><enddate>20131001</enddate><creator>Moreira-Pinto, João</creator><creator>Osório, Angélica</creator><creator>Pereira, Joana</creator><creator>Sousa, Catarina</creator><creator>Ribeiro de Castro, João Luís</creator><creator>Réis, Armando</creator><general>Elsevier Ltd</general><general>Elsevier 1</general><scope>RCLKO</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20131001</creationdate><title>Ureteroneocystostomy after failed dextranomer/hyaluronic acid copolymer injection for vesicoureteral reflux treatment</title><author>Moreira-Pinto, João ; Osório, Angélica ; Pereira, Joana ; Sousa, Catarina ; Ribeiro de Castro, João Luís ; Réis, Armando</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-2245d518bd95d1a44cdb24f7a8040402a0c0c84e9df88e45bb45df0164e8e8673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Biocompatible Materials</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Ciências Médicas</topic><topic>Cystostomy</topic><topic>Cystostomy - methods</topic><topic>Dextranomer/hyaluronic acid copolymer</topic><topic>Dextrans</topic><topic>Dextrans - administration & dosage</topic><topic>Endoscopy</topic><topic>Female</topic><topic>Humans</topic><topic>Hyaluronic Acid</topic><topic>Hyaluronic Acid - administration & dosage</topic><topic>Infant</topic><topic>Injections</topic><topic>Injections - methods</topic><topic>Male</topic><topic>Medicina Básica</topic><topic>Pediatrics</topic><topic>Preschool</topic><topic>Retreatment</topic><topic>Retrospective Studies</topic><topic>Science & Technology</topic><topic>Treatment Failure</topic><topic>Ureteroneocystostomy</topic><topic>Ureterostomy</topic><topic>Ureterostomy - methods</topic><topic>Urology</topic><topic>Urteral reimplantation</topic><topic>Vesico-Ureteral Reflux - drug therapy</topic><topic>Vesico-Ureteral Reflux - surgery</topic><topic>Vesicoureteral reflux</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moreira-Pinto, João</creatorcontrib><creatorcontrib>Osório, Angélica</creatorcontrib><creatorcontrib>Pereira, Joana</creatorcontrib><creatorcontrib>Sousa, Catarina</creatorcontrib><creatorcontrib>Ribeiro de Castro, João Luís</creatorcontrib><creatorcontrib>Réis, Armando</creatorcontrib><collection>RCAAP open access repository</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moreira-Pinto, João</au><au>Osório, Angélica</au><au>Pereira, Joana</au><au>Sousa, Catarina</au><au>Ribeiro de Castro, João Luís</au><au>Réis, Armando</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ureteroneocystostomy after failed dextranomer/hyaluronic acid copolymer injection for vesicoureteral reflux treatment</atitle><jtitle>Journal of pediatric urology</jtitle><addtitle>J Pediatr Urol</addtitle><date>2013-10-01</date><risdate>2013</risdate><volume>9</volume><issue>5</issue><spage>665</spage><epage>669</epage><pages>665-669</pages><issn>1477-5131</issn><eissn>1873-4898</eissn><abstract>Abstract Purpose To report our experience of open ureteroneocystostomy after failed endoscopic treatment. Material and methods Clinical charts of 787 children who entered our dextranomer/hyaluronic acid copolymer (DxHA) endoscopic injection program for vesicoureteral reflux (VUR) treatment between May 2000 and December 2009 were reviewed. Fifty-one of these patients were submitted to open ureteroneocystostomy for complete resolution of VUR. Results Twenty-eight patients (55%) were female. Median age at surgery was 65 months (range: 26–182). Median time going from first endoscopic injection until open surgery was 13 months (range 1–58). Surgical ureteral reimplantation was bilateral in 62.7% of the cases. Of a total of 83 operated ureters, nine were duplex ureters, nine were megaureters, six were ectopic, and two had periureteral diverticulum. Mean operative time was 70 min (range 45–120 min). There were no intra-operative complications. Follow-up VCUG showed complete resolution of VUR in 98% of patients. There was only one right-sided grade III VUR that persisted after bilateral reimplantation. It resolved with a single subureteral DxHA injection. Conclusions Ureteroneocystostomy after a failed endoscopic treatment can achieve successful results in a high percentage of patients with minimal complications.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>22906586</pmid><doi>10.1016/j.jpurol.2012.07.021</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Biocompatible Materials Child Child, Preschool Ciências Médicas Cystostomy Cystostomy - methods Dextranomer/hyaluronic acid copolymer Dextrans Dextrans - administration & dosage Endoscopy Female Humans Hyaluronic Acid Hyaluronic Acid - administration & dosage Infant Injections Injections - methods Male Medicina Básica Pediatrics Preschool Retreatment Retrospective Studies Science & Technology Treatment Failure Ureteroneocystostomy Ureterostomy Ureterostomy - methods Urology Urteral reimplantation Vesico-Ureteral Reflux - drug therapy Vesico-Ureteral Reflux - surgery Vesicoureteral reflux |
| title | Ureteroneocystostomy after failed dextranomer/hyaluronic acid copolymer injection for vesicoureteral reflux treatment |
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