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Titolo:
Endoscopic treatment of vesicorenal reflux in children: long-term and short-term results of polytetrafluoroethylene (Teflon) injections.
Autore:
Chaffange, P; Dubois, R; Bouhafs, A; Valmalle, AF; Dodat, H;
Indirizzi:
Ctr Hosp Lyon Sud, Serv Urol, F-69495 Pierre Benite, France Ctr Hosp Lyon Sud Pierre Benite France F-69495 495 Pierre Benite, France Hop Edouard Herriot, Serv Urol Pediat, Lyon, France Hop Edouard Herriot Lyon France Herriot, Serv Urol Pediat, Lyon, France
Titolo Testata:
PROGRES EN UROLOGIE
fascicolo: 3, volume: 11, anno: 2001,
pagine: 546 - 551
SICI:
1166-7087(200106)11:3<546:ETOVRI>2.0.ZU;2-3
Fonte:
ISI
Lingua:
FRE
Soggetto:
PRIMARY VESICOURETERAL REFLUX; FOLLOW-UP; INTERNATIONAL REFLUX; POLYTEF TEFLON; MIGRATION; REIMPLANTATION; PASTE;
Keywords:
vesicorenal reflux; endoscopic treatment; polytetrafluoroethylene; child;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
37
Recensione:
Indirizzi per estratti:
Indirizzo: Chaffange, P Ctr Hosp Lyon Sud, Serv Urol, F-69495 Pierre Benite, France Ctr Hosp Lyon Sud Pierre Benite France F-69495 nite, France
Citazione:
P. Chaffange et al., "Endoscopic treatment of vesicorenal reflux in children: long-term and short-term results of polytetrafluoroethylene (Teflon) injections.", PROG UROL, 11(3), 2001, pp. 546-551

Abstract

Objective: To retrospectively evaluate the short-term and longterm efficacy and safety of endoscopic treatment of vesicorenal reflux in children by polytetrafluoroethylene injection, based on the largest series published in the literature. Material and Methods: Six hundred and fifty ureters in 402 children were by subureteric injection of polytetrafluoroethylene from 1986 to 1993. The short-term results were evaluated one month and one year after treatment by physical examination, urine culture, bladder and renal ultrasonography and retrograde cystography. The long-term results were evaluated with a mean follow-up of 116 months by physical examination, renal ultrasonography, questionnaire for the patient's family and urine culture. Results: 86.6% refluxing ureters in 82.1% of children were cured after endoscopic treatment. No serious short-term complications were observed. In the long-term, 97% of children never presented an episode of pyelonephritis. Ultrasonographic assessment did not reveal any dilatation of the upper urinary tract, no any suspicious lesions of the bladder wall. Continuing refluxnephropathy due to chronic pyelonephritis was observed in 4.4% of treated kidneys, despite satisfactory correction of reflux. No local complications related to the biomaterial and no signs suggestive of distant diseases induce by migration of Teflon particles were observed. No malignant degeneration was reported. Conclusions: Review of this series demonstrates the short-term efficacy and long-term maintenance of the good results of endoscopic treatment of reflux. No local complication and no complications due to migration of Teflon were observed in this sen. es. This procedure avoided the need for conventional ureteric reimplantation in 92% of treated children.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/04/20 alle ore 15:18:39