COMPARATIVE EVALUATION OF SURGICAL CORRECTION METHODS OF VESICO-URETERIC REFLUX IN CHILDREN
https://doi.org/10.15690/vsp.v13i2.984
Abstract
Background: To compare different surgical correction methods of vesico-ureteric reflux in children using both open surgery and endoluminal (intraluminal) treatment options of this pathology. Patients and methods: 166 patients aged from 4 months to 13 were examined and treated. All children underwent X-ray urological examination through cystography and ultrasound examination of kidneys and urocyst. Cohen's operation, STING procedure involving endoscopic injection of bulking agents was performed. Treatment results were assessed 6 months later through control cystography. Conclusion: Endoscopic correction of vesico-ureteric reflux is an effective and minimally invasive treatment method for this pathology. Maximum treatment effect after biodegradable bulking agents application should be expected in younger age group. Treatment rates of endoluminal correction of vesico-ureteric reflux with the use of sterile viscous gel as a fixing agent are higher than with the use of bovine collagen.
About the Authors
S. P. Yatsyk
Scientific Centre of Children Health, Moscow
Russian Federation
Sergey Yatsyk, Doctor of Medical Science, professor, head of the department of reproductive health
Russian Federation
Sergey Yatsyk, Doctor of Medical Science, professor, head of the department of reproductive health
А. G. Burkin
Scientific Centre of Children Health, Moscow
Russian Federation
Russian Federation
S. М. Sharkov
Scientific Centre of Children Health, Moscow
Russian Federation
Russian Federation
К. S. Abramov
Scientific Centre of Children Health, Moscow
Russian Federation
Russian Federation
А. А. Rusakov
Scientific Centre of Children Health, Moscow
Russian Federation
Russian Federation
I. F. Tin
Scientific Centre of Children Health, Moscow
Russian Federation
Russian Federation
References
1. Gel'dt V. G., Yudina Ye. V., Kuzovleva G. I. Nizhegorodskiy medi tsinskiy zhurnal — Nizhny Novgorod Medical Journal. 2004; 2: 119.
2. Dzhavad-Zade M. D., Guseynov E.Ya. Urologiya i nefrologiya — Urology and Nephrology. 1998; 6: 16–19.
3. Yatsyk P. K., Zvara V. Puzyrno-mochetochnikovyy reflyuks u detey [Children Vesicoureteral Reflux]. М.: Meditsina. 1990. 182 p.
4. Burkin A. G., Yatsyk S. P., Fomin D. K., Sharkov S. M., Shamov B. K. Pediatricheskaja farmakologija — Pediatric pharmacology. 2012; 9 (2): 120–124.
5. Ashcraft K. W., Holder T. M. Detskaya khirurgiya [Pediatric Surgery]. SPb.: Pit-Tal. 1997. 392 p.
6. Paradysz A., Dzielicki J., Fryczkowsky M. A new method of extravesical correction for vesicoureteral reflux. Wiad. Lek. 1998; 51 (Suppl. 3): 110–113.
7. Weingartner K., Riedmiller H. Indikationen zur Refluxoperation. Urologe. 2002; 42: 40–42.
8. Farina R. Retrograde echocystography: a new ultrasonographic technique for the diagnosis and staging of vesicoureteral reflux. La Radiologia Medica. 1999; 97 (5): 360.
9. Polito C., Rambaldi P. F., Mansi L. Unilateral vesico-ureteric reflux: Low prevalence of contralateral renal damage. J. Pediatr. 2001; 138: 875–879. 1
10. Osipov I. B., Lebedev D. A., Levandovskiy A. B. Vestnik khirurgii im. I. I. Grekova — I. I. Grekov Bulletin of Surgery. 2008; 2: 53–57.
11. Haferkamp A. Failure of subureteral bovine collagen injections for the endoscopic treatment primary vesicoureteral reflux in longterm follow-up. J. Urol. 2000; 55 (5): 759.
12. Dodat H. Endoscopic treatment of vesicorenal reflux in children. Arch. Pediatr. 1994; 1 (1): 93.
Review
For citations:
Yatsyk S.P., Burkin А.G., Sharkov S.М., Abramov К.S., Rusakov А.А., Tin I.F. COMPARATIVE EVALUATION OF SURGICAL CORRECTION METHODS OF VESICO-URETERIC REFLUX IN CHILDREN. Current Pediatrics. 2014;13(2):129-131. (In Russ.) https://doi.org/10.15690/vsp.v13i2.984
Views:
813
Email this article 
