English Journal

[Obstructive complications of endoscopic treatment of vesicoureteral reflux in children].

Abdulaev FK, Kulaev VD, Nikolaev VV.AbstractThe study was aimed to the selection of patients, in which endoscopic treatment of vesicoureteral reflux (VUR) is contraindicated due to the high risk of the formation of obstructive hydroureteronephrosis (HUN). From June 1991 to December 2011, endoscopic treatment of I-V degree VUR was performed in more than 4,000 children aged 4 months to 17 years. In period of wide use of endoscopic technique, obstructive HUN occurred in average in 1 (0.5%) case of 200 VUR (5 cases in 5 children), only in IV degree reflux and in only in children with initial subcompensated obstruction of ureterovesical segment, which was manifested as flask-shaped extension of juxtavesical ureter on intravenous urograms. Ureterocystoneostomy allowed to resect the terminal ureter with encapsulated implants in 4 out of 5 children. The macroscopic and histological examination of biopsy specimens confirmed the correct position of the implant in all cases, which excluded the technical complications. Thus, persistent decompensation of urodynamics of upper urinary tract is the result of increased pressure profile of the terminal ureter, inevitable in the endoscopic treatment of UVR, in children with initial obstruction of ureterovesical segment. Therefore, endoscopic treatment is contraindicated for children with high-degree reflux and radiological signs of obstruction of the terminal ureter.
Urologii͡a (Moscow, Russia : 1999).Urologiia.2013 May-Jun;(3):79-83.
The study was aimed to the selection of patients, in which endoscopic treatment of vesicoureteral reflux (VUR) is contraindicated due to the high risk of the formation of obstructive hydroureteronephrosis (HUN). From June 1991 to December 2011, endoscopic treatment of I-V degree VUR was performed in
PMID 23987055

Laparoscopic ureteral reimplantation surgery according to Lich-Gregoir.

Corona A, Serra S, De Lisa A.SourceClinica Urologica - Università degli Studi di Cagliari - Italy.
Urologia.Urologia.2012 Dec 30;79 Suppl 19:e27-9. doi: 10.5301/RU.2012.9764.
Introduction: Terminal ureteral stenosis can occur as a consequence of gynecological diseases or surgical treatment of simple or radical hysterectomy and pelvic endometriosis. Materials and Methods: We evaluated 5 patients aged between 30 and 52 years, who underwent ureterocystoneostomy for ureteral
PMID 23371269

Japanese Journal

Positioning the instillation of contrast膀胱造影で診断しえたVUR術後再発の1例

福井真二,青木勝也,中井靖 [他],松本吉弘,影林頼明,福田和由,三馬省二
泌尿器科紀要 = Acta urologica Japonica 59(11), 743-747, 2013-11
… Left ureterocystoneostomy was performed at 11 months because of recurrent febrile UTI under antibiotic prophylaxis. …
NAID 120005350249

小児膀胱Nephrogenic adenomaの1例

安住誠,徳光正行,佐賀祐司,橋本博,金子茂男,八竹直,倉達彦
日本泌尿器科學會雜誌 93(3), 495-498, 2002-03-20
症例は3歳,女児.生後6カ月時に右側VUR及び左側水腎症(尿道内異所開口尿管をともなう不完全重複腎盂尿管)の診断にて両側逆流防止式尿管膀胱新吻合術を施行した.術後左下半腎所属尿管にVURを認め,3歳時精査加療目的に入院.全身麻酔下に内視鏡的逆流防止術(コラーゲン注入法)を施行しようとしたところ,膀胱内に多発する乳頭状の腫瘍性病変を認めたため,TURを施行.病理組織学的に,nephrogenic a …
NAID 110003060777

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