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Endoscopic Trigonoplasty in Pediatric Patients with Primary Vesicoureteral Reflux: Preliminary Report

1996; Lippincott Williams & Wilkins; Volume: 156; Issue: 1 Linguagem: Inglês

10.1016/s0022-5347(01)65997-4

1527-3792

Kikuo Okamura, Yukitaka Yamada, Yoshikazu Tsuji, Toshifumi Sakakibara, Atsuo Kondo, Yoshinari Ono, Shinichi Ohshima, Koji Miyake,

Ureteral procedures and complications

No AccessJournal of UrologyPediatric Urology1 Jul 1996Endoscopic Trigonoplasty in Pediatric Patients with Primary Vesicoureteral Reflux: Preliminary Report Kikuo Okamura, Yukitaka Yamada, Yoshikazu Tsuji, Toshifumi Sakakibara, Atsuo Kondo, Yoshinari Ono, Shinichi Ohshima, and Koji Miyake Kikuo OkamuraKikuo Okamura More articles by this author , Yukitaka YamadaYukitaka Yamada More articles by this author , Yoshikazu TsujiYoshikazu Tsuji More articles by this author , Toshifumi SakakibaraToshifumi Sakakibara More articles by this author , Atsuo KondoAtsuo Kondo More articles by this author , Yoshinari OnoYoshinari Ono More articles by this author , Shinichi OhshimaShinichi Ohshima More articles by this author , and Koji MiyakeKoji Miyake More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)65997-4AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We investigated the preliminary surgical results of endoscopic trigonoplasty in pediatric patients with primary vesicoureteral reflux. Materials and Methods: We performed endoscopic trigonoplasty in 6 pediatric patients (11 refluxing ureters). Reflux was grade II in 4 reno-ureteral units, grade III in 5, grade IV in 1 and grade V in 1 (international classification). Surgery was done using laparoscopic and endoscopic instruments. Results: Vesicoureteral reflux disappeared 3 to 12 months postoperatively. Analgesics were administered postoperatively to 4 patients for 24 hours and to 2 for 48 hours. No bladder irritability or postoperative upper urinary tract dilatation was observed in the early postoperative period. Conclusions: Minimally invasive endoscopic trigonoplasty can be an effective surgical procedure for pediatric patients with vesicoureteral reflux. References 1 : Endoscopic trigonoplasty for primary vesicoureteral reflux: initial case report. Jap. J. Endourol. ESWL1993; 6: 226. Google Scholar 2 : Trigonoplasty for vesicoureteral reflux--from open surgery to endoscopic surgery. Jap. J. Urol.1994; 85: 1368. Google Scholar 3 : Endoscopic trigonoplasty for primary vesico-ureteric reflux. Brit. J. Urol.1995; 75: 390. Google Scholar 4 : Ureteral reimplantation: a comparison of results with the cross-trigonal and Politano-Leadbetter techniques in 120 patients. J. Urol.1991; 146: 1352. Link, Google Scholar 5 : Results of the renewed extravesical reimplant for surgical correction of vesicoureteral reflux. J. Urol.1992; 148: 359. Link, Google Scholar 6 : A new technique for surgical correction of vesicoureteral reflux. J. Urol.1984; 131: 456. Google Scholar 7 : Effectiveness of trigonoplasty to treat primary vesicoureteral reflux. J. Urol., part 21991; 146: 636. Abstract, Google Scholar 8 : Surgical treatment of vesicoureteral reflux with bilateral medialization of the ureteral orifices. Eur. Urol.1985; 11: 181. Google Scholar 9 : Correction of vesicoureteral reflux by the Gil-Vernet procedure. Eur. Urol.1988; 14: 214. Google Scholar 10 : Surgical management of vesicoureteral reflux by modified Gil-Vernet method. Int. Urol. Nephrol.1990; 22: 531. Google Scholar 11 : Endoscopic injection of glutaraldehyde cross-linked bovine dermal collagen for correction of vesicoureteral reflux. J. Urol.1991; 145: 115. Link, Google Scholar 12 : Ten year experience with subureteric Teflon (polytetrafluoroethylene) injection (STING) in the treatment of vesicoureteric reflux. Brit. J. Urol.1995; 75: 126. Google Scholar 13 : Anti-reflux surgery by injection of Teflon paste. Brit. J. Urol.1992; 69: 507. Google Scholar 14 : Laparoscopic vesicoureteroplasty in children: initial case reports. Urology1994; 43: 255. Google Scholar 15 : Management of unilateral reflux by ipsilateral ureteroneocystostomy--is it sufficient?. J. Urol.1983; 129: 1022. Abstract, Google Scholar 16 : Unilateral ureteroneocystostomy: the fate of the contralateral ureter. J. Urol.1972; 107: 466. Link, Google Scholar Departments of Urology, Nagoya University School of Medicine, Komaki Shimin Hospital and Shakaihoken Chukyo Hospital, Nagoya, Japan.© 1996 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byMarchini G, Hong Y, Minnillo B, Diamond D, Houck C, Meier P, Passerotti C, Kaplan J, Retik A and Nguyen H (2018) Robotic Assisted Laparoscopic Ureteral Reimplantation in Children: Case Matched Comparative Study With Open Surgical ApproachJournal of Urology, VOL. 185, NO. 5, (1870-1875), Online publication date: 1-May-2011.Simforoosh N, Nadjafi-Semnani M and Shahrokhi S (2018) Extraperitoneal Laparoscopic Trigonoplasty for Treatment of Vesicoureteral Reflux: Novel Technique Duplicating its Open CounterpartJournal of Urology, VOL. 177, NO. 1, (321-324), Online publication date: 1-Jan-2007.TSUJI Y, OKAMURA K, NISHIMURA T, OKAMOTO N, KOBAYASHI M, KINUKAWA T and OHSHIMA S (2018) A New Endoscopic Ureteral Reimplantation for Primary Vesicoureteral Reflux (Endoscopic Trigonoplasty II)Journal of Urology, VOL. 169, NO. 3, (1020-1022), Online publication date: 1-Mar-2003.Okamura K, Kato N, Takamura S, Tanaka J, Nagai T, Watanabe H, Tsuji Y, Ono Y and Ohshima S (2018) Trigonal Splitting is a Major Complication of Endoscopic Trigonoplasty at 1-Year FollowupJournal of Urology, VOL. 157, NO. 4, (1423-1425), Online publication date: 1-Apr-1997. Volume 156Issue 1July 1996Page: 198-200 Advertisement Copyright & Permissions© 1996 by American Urological Association, Inc.MetricsAuthor Information Kikuo Okamura More articles by this author Yukitaka Yamada More articles by this author Yoshikazu Tsuji More articles by this author Toshifumi Sakakibara More articles by this author Atsuo Kondo More articles by this author Yoshinari Ono More articles by this author Shinichi Ohshima More articles by this author Koji Miyake More articles by this author Expand All Advertisement PDF downloadLoading ...