Endoscopic Treatment of Vesicoureteral Reflux in Children
Author Information
Author(s): Wolfgang H. Cerwinka, Hal C. Scherz, Andrew J. Kirsch
Primary Institution: Children's Healthcare of Atlanta, Emory University School of Medicine
Hypothesis
Endoscopic treatment for vesicoureteral reflux (VUR) in children is effective and may be preferable to traditional surgical methods.
Conclusion
Endoscopic injection is emerging as the treatment of choice for VUR in children.
Supporting Evidence
- Most contemporary series report cure rates of greater than 85% for primary VUR.
- Endoscopic treatment offers major advantages to patients while avoiding potentially complicated open surgery.
- Endoscopic injection has been successfully employed in patients who either failed ureteral reimplantation or initial injection.
Takeaway
Doctors can fix a problem in kids' bladders without big surgery by using a special gel that helps stop urine from going the wrong way.
Methodology
The review summarizes current indications, injectable agents, techniques, success rates, complications, and future applications of endoscopic treatment for VUR.
Potential Biases
Potential bias in reporting success rates due to varying follow-up lengths and definitions of success.
Limitations
Success rates may vary based on different inclusion criteria and definitions of success across studies.
Participant Demographics
Children diagnosed with vesicoureteral reflux.
Digital Object Identifier (DOI)
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