Predicting success in the endoscopic management of pediatric vesicoureteral reflux

Urology. 2010 Jul;76(1):195-8. doi: 10.1016/j.urology.2009.09.017. Epub 2009 Nov 22.

Abstract

Vesicoureteral reflux is a common cause of pediatric morbidity. Though traditionally managed using a limited number of therapeutic modalities, the last decade has witnessed countless surgical innovations for treating reflux. A major force behind this innovation is the increasing use of endoscopic injection, which currently constitutes nearly half of all anti-reflux procedures performed in the United States. However, published success rates for injection vary dramatically. Despite a relative lack of comparative data, multiple studies have attempted to define the most important prognostic factors for injection success. This article is an attempt to summarize these findings.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Cystoscopy*
  • Dextrans* / administration & dosage
  • Humans
  • Hyaluronic Acid* / administration & dosage
  • Prognosis
  • Remission Induction
  • Vesico-Ureteral Reflux / therapy*

Substances

  • Dextrans
  • dextranomer-hyaluronic acid copolymer
  • Hyaluronic Acid