Subureteric injection in the treatment of vesicoureteral reflux: Single center experience
Journal Title: Dokuz Eylul Universitesi Tip Fakultesi Dergisi - Year 2017, Vol 31, Issue 1
Abstract
INTRODUCTION: Subureteric agent injection is preferred increasingly in the treatment of vesico-ureteral reflux (VUR) disease. In this study, we aimed to evaluate the long term results of patients who had VUR disease treated with subureteric agent injection. METHODS: Between 1993-2014 years, 156 patients who had VUR disease treated with subureteric agent injection were reviewed retrospectively. Demographic data, properties of VUR, treatment success and postoperative complications were recorded. The bulking agents were implemented to one point of the submucosal area in the ureteral orifice. We used radionuclide direct cystogram or conventional voiding cystography to control VUR presence at the postoperative 3rd month. Subureteric agent injection was repeated who had persistence VUR. RESULTS: A total 222 ureter of 156 patients (115 female, 41 male) who had VUR were treated. Mean age of patients were 6.4±3.4 (8 month-16 years). Patients who had overactive bladder in urodynamic tests before using subureteric agent injection were treated with oxybutynin HCl. When the patients were evaluate between 1993-2003 years, 2003-2009 years and 2009-2014 years, we found the success rate increasing as 76%, 83% and 92%; respectively. The overall success rate was found 86%. At the third or fourth subureteric agent injections, the success rate decreased to 15%. Follow up time of the patients performed subureteric agent injections was 22.2± 17.6 (2 -72) months. DISCUSSION AND CONCLUSION: Subureteric agent injections for VUR treatment is an effective method with high success rate and low complication rate. If VUR still exists after the second subureteric injections, ureteroneocystostomy must be preferred.
Authors and Affiliations
Oktay ULUSOY, Osman Zeki KARAKUŞ, Serdar ŞIYVE, Oğuz Ateş, Gülce HAKGÜDER, Feza Miraç AKGÜR, Mustafa OLGUNER
Keywords
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