Endoscopic Trigonoplasty in Pediatric Patients with Primary Vesicoureteral Reflux: Preliminary Report

Abstract

No AccessJournal of UrologyPediatric Urology1 Jul 1996Endoscopic Trigonoplasty in Pediatric Patients with Primary Vesicoureteral Reflux: Preliminary Report Kikuo Okamura, Yukitaka Yamada, Yoshikazu Tsuji, Toshifumi Sakakibara, Atsuo Kondo, Yoshinari Ono, Shinichi Ohshima, and Koji Miyake Kikuo OkamuraKikuo Okamura More articles by this author , Yukitaka YamadaYukitaka Yamada More articles by this author , Yoshikazu TsujiYoshikazu Tsuji More articles by this author , Toshifumi SakakibaraToshifumi Sakakibara More articles by this author , Atsuo KondoAtsuo Kondo More articles by this author , Yoshinari OnoYoshinari Ono More articles by this author , Shinichi OhshimaShinichi Ohshima More articles by this author , and Koji MiyakeKoji Miyake More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)65997-4AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We investigated the preliminary surgical results of endoscopic trigonoplasty in pediatric patients with primary vesicoureteral reflux. Materials and Methods: We performed endoscopic trigonoplasty in 6 pediatric patients (11 refluxing ureters). Reflux was grade II in 4 reno-ureteral units, grade III in 5, grade IV in 1 and grade V in 1 (international classification). Surgery was done using laparoscopic and endoscopic instruments. Results: Vesicoureteral reflux disappeared 3 to 12 months postoperatively. Analgesics were administered postoperatively to 4 patients for 24 hours and to 2 for 48 hours. No bladder irritability or postoperative upper urinary tract dilatation was observed in the early postoperative period. Conclusions: Minimally invasive endoscopic trigonoplasty can be an effective surgical procedure for pediatric patients with vesicoureteral reflux. References 1 : Endoscopic trigonoplasty for primary vesicoureteral reflux: initial case report. Jap. J. Endourol. ESWL1993; 6: 226. Google Scholar 2 : Trigonoplasty for vesicoureteral reflux--from open surgery to endoscopic surgery. Jap. J. Urol.1994; 85: 1368. Google Scholar 3 : Endoscopic trigonoplasty for primary vesico-ureteric reflux. Brit. J. Urol.1995; 75: 390. Google Scholar 4 : Ureteral reimplantation: a comparison of results with the cross-trigonal and Politano-Leadbetter techniques in 120 patients. J. Urol.1991; 146: 1352. Link, Google Scholar 5 : Results of the renewed extravesical reimplant for surgical correction of vesicoureteral reflux. J. Urol.1992; 148: 359. Link, Google Scholar 6 : A new technique for surgical correction of vesicoureteral reflux. J. Urol.1984; 131: 456. Google Scholar 7 : Effectiveness of trigonoplasty to treat primary vesicoureteral reflux. J. Urol., part 21991; 146: 636. Abstract, Google Scholar 8 : Surgical treatment of vesicoureteral reflux with bilateral medialization of the ureteral orifices. Eur. Urol.1985; 11: 181. Google Scholar 9 : Correction of vesicoureteral reflux by the Gil-Vernet procedure. Eur. Urol.1988; 14: 214. Google Scholar 10 : Surgical management of vesicoureteral reflux by modified Gil-Vernet method. Int. Urol. Nephrol.1990; 22: 531. Google Scholar 11 : Endoscopic injection of glutaraldehyde cross-linked bovine dermal collagen for correction of vesicoureteral reflux. J. Urol.1991; 145: 115. Link, Google Scholar 12 : Ten year experience with subureteric Teflon (polytetrafluoroethylene) injection (STING) in the treatment of vesicoureteric reflux. Brit. J. Urol.1995; 75: 126. Google Scholar 13 : Anti-reflux surgery by injection of Teflon paste. Brit. J. Urol.1992; 69: 507. Google Scholar 14 : Laparoscopic vesicoureteroplasty in children: initial case reports. Urology1994; 43: 255. Google Scholar 15 : Management of unilateral reflux by ipsilateral ureteroneocystostomy--is it sufficient?. J. Urol.1983; 129: 1022. Abstract, Google Scholar 16 : Unilateral ureteroneocystostomy: the fate of the contralateral ureter. J. Urol.1972; 107: 466. Link, Googl