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Endoscopic Treatment of Vesicoureteric Reflux in Transplanted Kidneys
Author(s) -
CLOIX P.,
GELET A.,
DESMETTRE O.,
COCHAT P.,
GARNIER J. L.,
DUBERNARD J. M.,
MARTIN X.
Publication year - 1993
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1993.tb06449.x
Subject(s) - vesicoureteric reflux , medicine , surgery , reflux , complication , vesicoureteral reflux , endoscopic treatment , population , ureter , endoscopy , urology , disease , environmental health
Summary— Twenty‐one patients underwent endoscopic subureteric injection of Polytef paste for the correction of secondary vesicoureteric reflux (VUR) in transplanted kidneys. Ureteroneocystotomy was performed in renal transplants using an extravesical technique in 19 patients and the Leadbetter‐Politano technique in 2 cases. Success was achieved in only 6 patients, including the 2 ureters reimplanted according to the Leadbetter‐Politano technique. No significant complication relating to the technique was observed. Despite the low success rate (30%), endoscopic treatment of VUR in transplanted kidneys is justified as a first attempt in view of the morbidity of VUR and the difficulties of repeated surgical reimplantation in this population.