Vesicoureteral Reflux In Cases With Low Capacity Bladder:Is Ureteral Reimplantation Routinely Need During Augmentation Cystoplasty?

Sakıp Erturhan; Mehmet Solakhan; Haluk Şen; Ahmet Erbağcı; İlker Seçkiner; Faruk Yağcı

doi:10.58600/eurjther.2007-13-2-1368-arch

Authors

Sakıp Erturhan Gaziantep Üniversitesi Tıp Fakültesi Üroloji ABD
Mehmet Solakhan Gaziantep Üniversitesi Tıp Fakültesi Üroloji ABD
Haluk Şen Gaziantep Üniversitesi Tıp Fakültesi Üroloji ABD
Ahmet Erbağcı Gaziantep Üniversitesi Tıp Fakültesi Üroloji ABD
İlker Seçkiner Gaziantep Üniversitesi Tıp Fakültesi Üroloji ABD
Faruk Yağcı Gaziantep Üniversitesi Tıp Fakültesi Üroloji ABD

DOI:

https://doi.org/10.58600/eurjther.2007-13-2-1368-arch

Keywords:

Myelodysplasic child, Vesicoureteral reflux, Augmentation cystoplasty, Ureteral reimplantation

Abstract

In our study, the necessity of ureteral reimplantation (URI) with augmentation cystoplasty (OSP) in cases who had low capasity, hypocompliant neurogenic bladder and vesicoureteral reflux (VUR) were assessed. Between January 1996 and March 2006, A total of 44 myelodysplasic patients (age ranged 2.5-16 (mean 6.4)years, 23 male, 21 girl) were included to the study who had performed OSP. Vesicoureteral reflux (VUR) was found in 24 patients (38 reno-ureteral units-RUU ) in first admission which had grade 3 and lower grade in 12 RUU, grade 4 in 6 RUU and grade 5 in 20 RUU. While ureteral reimplantation was performed with OSP in 5 patients (10 RUU) who had grade 5 VUR, additional operation was not done to remaining other patients. We evaluated that VUR was disappeared in patients who had grade 3 and lower grade VUR, in postoperatively 3th and 12 th months. While persistent VUR was not found in patients who had performed URI together with OSP, low grade persistent VUR established in three of patients who had sole OSP. Ureteral reimplantation is not routinely needed in patients with low capacity, hypocompliant bladder and associated VUR who undergo OSP.

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References

Arıkan N. İşeme bozukluklarında mesane büyütülmesi ameliyatları. Üroloji 2004 ( Erözenci A, Ataus S). 1. Baskı. İstanbul, Ayhan Matbaası. 2004:465 -469.

Bedük Y, Özer G. Ögmentasyon sistoplasti, ortotopik üriner diversiyon. Temel Üroloji ( Anafarta K, Göğüş O, Arıkan N, Bedük Y) 1. Baskı. Ankara Güneş Kitabevi. Bölüm 22, 1998:897-947.

Greenwell TJ, Venn SN, Mundy AR. Augmentation cystoplasty. BJU Int 2001;88:511-525

Tizzoni G, Foggi A. Die wiederhestellung der harnblase. Centralbl F Chir 1888;15:921-923.

Von Mikulicz J. Zur operation der angebarenen blaben -Spalte. Zentralbl Chir 1889;20:641-643.

Elbahnasy AM, Shalhav A, Hoenig DM, Figenshau R, Clayman RV. Bladder wall substitution with synthetic and non-intestinal organic materials. J Urol 1998;159(3):628-637.

Agarwal SK, Khoury AE, Abramson RP, Churchill BM, Argiropoulos G, McLorie GA. Outcome analysis of vesicoureteral reflux in children with myelodysplasia. J Urol 1997;157(3):980-982.

Cohen RA, Rushton HG, Belman AB, Kass EJ, Majd M, Shaer C. Renal scarring and vesicoureteral reflux in children with myelodysplasia. J Urol 1990;144(2 Pt 2):541-544.

Kaplan WE, Firlit CF. Management of reflux in the myelodysplastic child. J Urol 1983;129:1195-1197.

Whitmore WF, Gittes RF. Reconstruction of the urinary tract by cecal and ileocecal cystoplasty: review of a 15-year experience. J Urol 1983;129:494-498.

Ahmed S. Urinary tract reconstruction augmentation cystoplasy. Saudi Med J 2003;24(5 suppl):545-546.

Martinez M, Pereira L, Urrutia M, Hernando L, Monereo E. Bladder augmentation in reconstruction of the urinary tract ( 1985-1997 ). Cir Pediatr 1999;12(3):94-99.

Charier-Kastler EJ, Mongiat-Artus P, Bitker MO, Chancellar MB, Richard F, Denys P. Long-term results of augmentation cystoplasy in spinal cord injury patients. Spinal Cord. 2002;38(8):490-494.

Quek ML, Ginsberg DA. Long-term urodynamics followup of bladder augmentation for neurogenic bladder. J Urol 2003;169(1):195-198.

Morioka A, Miyano T, Ando K, Yamataka T, Lane GJ Management of vesicoureteral reflux secondary to neurogenic bladder. 1998;13(8):584-586.

Castellan M, Damiani H, Fadil Iturralde J, Sanchez Mazzaferri F, Yunes J, Treatment of vesicoureteral reflux in patients with neurogenic bladder. Should the ureter be reimplanted in patients treated with augmentation cystoplasty? 2003;56(9):1013-1016.

Simforoosh N, Tabibi A, Basiri A,Noorbala MH, Danesh AD, Ijadi A. Is ureteral reimplantation necessary during augmentation cystoplasty in patients with neurogenic bladder and vesicoureteral reflux? 2002;168:1439-1441.

Steyaert H, Gebran S, Moscovici J, Juskiewenski S. Decisional criteria in the management of vesico-ureteral reflux in children with congenital neurogenic bladder. Prog Urol 1996;6(1):76-80.

Soylet Y, Emir H, Ilce Z, Yesildag E, Buyukunal SN, Danismend N. Quo vadis? Ureteric reimplantation or ignoring reflux during augmentation cystoplasty. BJU Int 2004;94(3):379-380.

Lopez Pereira P, Martinez Urrutia MJ, Lobato Romera R, Jaureguizar E. Should we treat vesicoureteral reflux in patients who simultaneously undergo bladder augmentation for neuropathic bladder? J Urol 2001;165:2259-2261.