LOW INCIDENCE OF NEW RENAL SCARS AFTER URETERAL REIMPLANTATION FOR VESICOURETERAL REFLUX IN CHILDREN: A PROSPECTIVE STUDY
| Autor: | Grahame H.H. Smith, Monica A. Rossleigh, R.I. Webster, Gad Kainer, Andrew R. Rosenberg, Robert H. Farnsworth |
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| Rok vydání: | 2000 |
| Předmět: | |
| Zdroj: | Journal of Urology. 163:1915-1918 |
| ISSN: | 1527-3792 0022-5347 |
| DOI: | 10.1016/s0022-5347(05)67597-0 |
| Popis: | Purpose: The major aim of treating vesicoureteral reflux in children is the prevention of renal scars. Dimercapto-succinic acid (DMSA) is the modality of choice for detecting renal scars. We documented the incidence of new renal scarring and measured changes in differential renal function after ureteral reimplantation using DMSA studies.Materials and Methods: We evaluated 45 boys and 98 girls with a median age of 2 years who had vesicoureteral reflux and underwent ureteral reimplantation. DMSA scans were done preoperatively and at a median of 3.4 years postoperatively. Maximal reflux grade was III in 84 children (59%), IV in 27 (19%) and V in 6 (4%).Results: Preoperatively DMSA studies showed scarred or contracted kidneys in 106 of the 143 patients (74%). After reimplantation mean change in differential function was 2.5%. New scars developed in 3 children (2%). We noted greater than 6% decrease in relative differential function without new scarring in 7 cases (5%).Conclusions: The incidence of new renal s... |
| Databáze: | OpenAIRE |
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