OPTIMIZING OUTCOMES IN PEDIATRIC VESICOURETERIC REFLUX: IMPORTANCE OF EARLY DIAGNOSIS AND SURGICAL INTERVENTION
Main Article Content
Keywords
Vesico Ureteral Reflux, Uretero vesical junction, Child health, urethral valve
Abstract
This prospective study conducted at the Department of Pediatric Surgery, Institute of Child Health, over a 2½-year period aimed to investigate primary vesico ureteral reflux (VUR). The study enrolled pediatric patients presenting with symptomatic recurrent urinary tract infections (UTIs), predominantly under the age of 3 years, with a male predominance. Bilateral cases accounted for 62.9% of the total, with Grades III, IV, and V reflux representing 83.9% of the renal units studied. Cohen’s Reimplant was the primary surgical intervention, achieving a success rate of 95.6%. The study underscores the importance of early surgical intervention to minimize renal damage in patients with persistent VUR, emphasizing the need for timely referral and multidisciplinary management strategies.
References
2. Hutch J. The mesodemnal component; its embrogology, anatomy, physiology and role in prevention of vesicoureteral reflux J. Urol 1972; 108; 406-10.
3. Tanagho EA, Meyers FH, Smith DR. The trigone; Anatomical and physiological considerations. In relation to the ureterovesical junction. J. Urol 1968; 100 (5): 623-32.
4. Politi C, La Manna A, Zamparelli M, Papale MR, Marte A, Rocco CE catch up growth in children with vesico ureteral reflux, Pediatr Nephrol. 1997; 11: 164-8.
5. Majid Malaki, Sayed Abolharsan, Maryam Shoaram, Growth indices in urinary tract infection children with or without vesico ureteral reflux, Saudi J Kidney Dis Traspl 2011; 22 (4): 623-726.
6. Reza Natisi – Moghadam, Mahrooz, Farzanch, Behzad, The value of ultrasound in diagnosis vesico ureteral reflux in young children with urinary tract infection, Acta medica Iranica, Vol. 49, No.9 (2011), 586-591.
7. Elder JS, Peters CA, Arant BS et al., Pediatric vesico ureteral reflux guidelines surgery report on the management of primary vesio ureteral reflux in children J. Urol. 1997, 157, 1846-51.
8. Jodel U. Kiskimis O, Hanson E et al, on behalf of the international reflux study in children. Infection pattern in children with vesico ureteral reflux. randomly allocated to operation or long term antibacterial prophylaxis. J. Urol. 1992; 148; 1650-52.
9. Bellinger MF, Pukett JW, Vesico ureteral reflux a comparision of non surgical and surgical management Contrib Mepher. 1984, 39: 81-93.
10. Birmingham Reflux study group, prospective trial of operative versus non operative treatment of severe vesico ureteric reflux in children 5 yrs observation BMJ clinical research 1987, 295, 237-4.
Article Sidebar
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
D. Tamilselvan
Assistant Professor, Department of Urology, Kilpauk Medical College, Chennai 600010, Tamilnadu, India
A. E. Poornima
Assistant Professor, Department of Pediatric Surgery, ESIC Medical College, K.K.Nagar, Chennai 600078
C. Sabarigirinathan
Professor and Vice Principal, Govt. Dental College, Chennai, Tamilnadu, India
Dr S. Balasiddharth
Department of Pharmacology, M.K.C.G Medical College, Berhampur, Odisha - 760 004, India.