A Novel Surgical Technique for Management of Vesicoureteral Reflux Following Kidney Transplantation: Prospective Study of 12 Cases
| Autor: | Louis Sibert, F. Dugardin, A. Safsaf, A. Bouzouita, P. Grise, C. Pfister |
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| Rok vydání: | 2010 |
| Předmět: |
Vesico-Ureteral Reflux
Transplantation medicine.medical_specialty urogenital system business.industry Urinary system Reflux Urology Anastomosis urologic and male genital diseases medicine.disease Kidney Transplantation Vesicoureteral reflux female genital diseases and pregnancy complications Surgery Dissection Ureter medicine.anatomical_structure medicine Humans Prospective Studies business Prospective cohort study Kidney transplantation |
| Zdroj: | Transplantation Proceedings. 42:4326-4328 |
| ISSN: | 0041-1345 |
| DOI: | 10.1016/j.transproceed.2010.11.001 |
| Popis: | The incidence of vesicoureteral reflux (VUR) varies between 10% and 80% of transplanted kidneys. In cases of failure of endoscopic treatment or recurrent urinary tract infections, surgical correction is proposed by ureteral reimplantation or pyeloureteral anastomosis using the native ureter. The aim of this study was to assess the results of a technique that increases the submucosal length of the ureter without a ureterovesical reimplantation. We treated 12 patients with VUR in the transplanted kidney by open surgery. Retrograde cystography showed resolution of reflux in all the patients. Our technique has the advantage of avoiding ureteral dissection thereby avoiding its devascularization and no invasion of the bladder mucosa. |
| Databáze: | OpenAIRE |
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