Ileocystoplasty with ureteral reimplantation into the afferent ileal limb for high-grade vesicoureteral reflux in a boy with lower urinary tract dysfunction
We encountered a 12-year-old boy who had lower urinary tract dysfunction and high-grade vesicoureteral reflux (VUR) in a bilateral duplex system. Since febrile urinary tract infections (f-UTI) frequently occurred even after intermittent catheterization, we performed bladder augmentation and an anti-...
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| Main Authors: | , , , , , , |
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| Format: | Book |
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Elsevier,
2018-08-01T00:00:00Z.
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| Summary: | We encountered a 12-year-old boy who had lower urinary tract dysfunction and high-grade vesicoureteral reflux (VUR) in a bilateral duplex system. Since febrile urinary tract infections (f-UTI) frequently occurred even after intermittent catheterization, we performed bladder augmentation and an anti-reflux procedure, reimplanting the four dilated ureters into the afferent ileal limb without creating a submucosal tunnel. The VUR was improved, and no f-UTI were seen after the surgery. The described anti-reflux procedure, which is based on bowel peristalsis, seems to be a feasible treatment for VUR in patients who undergo augmentation cystoplasty. Keywords: Augmentation, VUR, Bowel peristalsis |
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| Item Description: | 2213-5766 10.1016/j.epsc.2018.05.013 |