PURPOSE We undertook this study to evaluate the incidence, risk factors, management, and outcome of postoperative ureteral obstruction after endoscopic treatment for vesicoureteral reflux (VUR). MATERIALS AND METHODS Ninety patients undergoing endoscopic treatment for VUR were retrospectively reviewed and classified into two groups according to ureteral obstruction: the nonobstruction group (...

Four years ago, a 9-year-old boy received percutaneous nephrolithotomy (PCNL) and a 5F DJS was placed thereafter. The DJS was neglected until it caused serious complications including encrustation involving the whole stent, a 5-cm-diameter vesical stone, fragmentation of DJS, and serious urinary tract infection. For this rare and complex case of pediatric lithotomy, we combined PCNL with the su...

Vesicoureteral reflux (VUR) is the retrograde flow of urine from the bladder into the ureter. A normally functioning ureteral vesical junction (UVJ) allows for the smooth expulsion of urine from the ureter into the bladder without regurgitation of urine back up the ureter, either during bladder filling or upon voiding, If this valvular mechanism fails, from whatever etiology, urine flowing back...

OBJECTIVE To test whether active management of urinary tract infections (UTI) in young children by general practitioners can reduce kidney scarring rates. DESIGN A comparison of two audits in Newcastle, of children aged <8 years, presenting with UTIs ; a retrospective audit of conventional management during 1992-1995 (1990s) versus a prospective audit of direct access management during 2004-2...

Aims Considering the etiology of hypermobility syndrome that is involvement of connective tissue as a result of a disruption in the synthesis of collagen, there is a possibility of other organs involvement such as urinary system which the structure of connective tissue plays an important role. The aim of this study was to determine the association of hypermobility syndrome with vesico-ureteric ...

INTRODUCTION There is no well-defined follow-up scheme available to reliably detect persistent or recurrent vesicoureteric reflux (VUR) after endoscopic therapy (ET), but also to reduce postoperative invasive diagnostics in these children. Our aim was the evaluation of possible predictors of persistence and recurrence of VUR, in order to elaborate and test a risk-adapted follow-up regimen. MA...

The role of prophylactic antibiotics in children with ANH who are awaiting completion of postnatal investigations is controversial. Children with ANH have been shown to have a significantly higher risk of developing a urinary tract infection (UTI) than controls. While it is believed that prophylactic antibiotics will prevent urinary tract infections in children with VUR, it has yet to be proven...

AIMS To test the reproducibility of a highly sensitive clinical decision rule proposed to predict vesicoureteral reflux (VUR) after a first febrile urinary tract infection in children. This rule combines clinical (family history of uropathology, male gender, young age), biological (raised C reactive protein), and radiological (urinary tract dilation on renal ultrasound) predictors in a score, a...

The endoscopic injection of vesicoureteric orifices with synthetic or natural materials is a widely recognized method of treating vesicoureteral reflux (VUR). The aim of this study is to present two cases of clinically significant complications following the use of dextranomer/hyaluronic acid copolymer, which led to the progression of the reflux degree, permanent infection of the urinary tract,...