Investig Clin Urol.  2016 Jan;57(1):58-62. 10.4111/icu.2016.57.1.58.

Secondary surgery for vesicoureteral reflux after failed endoscopic injection: Comparison to primary surgery

• Lee S
• Jeong SC
• Chung JM
• Lee SD

• KMID: 2363125
• DOI: http://doi.org/10.4111/icu.2016.57.1.58

Abstract

PURPOSE
As endoscopic treatment for vesicoureteral reflux (VUR) has increased, secondary ureteral reimplantation (UR) after failure of endoscopic treatment has increased. We studied the clinical feature and efficacy of secondary UR after failure of endoscopic treatment compared with primary UR.
MATERIALS AND METHODS
Eighty-one children who had UR for VUR were enrolled. Charts were reviewed retrospectively for age, sex, grade of VUR before surgery, operative time, hospitalization period, postoperative complication, and success rate. Primary UR (group A, n=64) was compared with secondary UR after failed endoscopic treatment (group B, n=17). In group B, telephone survey for the satisfaction of endoscopic treatment and surgery was done.
RESULTS
Mean age of each group was 49.6+/-37.1 and 56.6+/-22.5 months (p=0.236). There was no significant difference between each group in sex, mean operative time, postoperative transfusion, complication rate, and success rate. As telephone survey in group B, eleven responders preferred endoscopic treatment as primary treatment of VUR because it was a simple method and no hospitalization.
CONCLUSIONS
Secondary UR after failure of endoscopic treatment was similar to primary UR. Parents preferred endoscopic treatment as first line treatment for VUR in spite of the need for secondary UR after failure of endoscopic treatment.

Keyword

Replantation; Ureter; Vesicoureteral reflux

MeSH Terms

Attitude to Health
Child
Child, Preschool
Female
Humans
Infant
Injections
Intraoperative Period
Male
Parents/psychology
Reoperation/methods
Replantation/adverse effects/methods
Retrospective Studies
Severity of Illness Index
Treatment Outcome
Ureter/*surgery
Ureteroscopy/*methods
Vesico-Ureteral Reflux/*surgery

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