Recurrence of vesico-ureteral reflux in children: is still the endoscopic injection the best option?

ABSTRACT:

Background

Endoscopic injection (EI) is a safe treatment for vesico-ureteral reflux (VUR) in children, but recurrences are not insignificant. This study aims to show if multiple EI is still the best first line management even if in case of recurrences.

Methods

All patients affected by primary VUR, treated with at least one EI and with at least 5 years follow up were included. All general data were analyzed. Recurrence rate after one, two and three EIs were calculated.

Results

One hundred and sixty-one patients (total number =210) were healed after 1 injection, 28 after 2 and 4 after 3 with a global success rate of 91.90%. Recurrence rate is higher in patients older than 3 years old and with IV and V reflux grade. Even if 67.7% of recurrent VUR after one injection was

SUBMITTER: Nascimben F 

PROVIDER: S-EPMC11399022 | biostudies-literature | 2024 Aug

REPOSITORIES: biostudies-literature