Medicinski vjesnik, Vol. 37 No. (1-4), 2005.
Professional paper
Results of the antireflux ureterocystoneostomyat the urinary bladder vertex in a 28-year-period (1978-2005)
Krunoslav Benčić
Tonći Dujmović
Radomir Obadić
Zoran Filipan
Damir Štajcar
Goran Benko
Abstract
In this paper we are presenting retrospective study results of the Bradić-Pasini antireflux ureterocystoneostomy (AUCN) procedure at the bladder vertex in children in the past 28 years. In collaboration with pediatricians from Varaždin, Èakovec and Koprivnica we subjected 316 children (67 boys and 249 girls) with severe primary vesicoureteral reflux (VUR) grades 3-5 to this surgical procedure. Bilateral reflux was present in 7 children, so total of 323 AUCN was performed. A complete evaluation, including urine analysis, urine culture, serum creatinine measurement, urography, voiding cystourethrography (VCUG) and cystoscopy was done before the surgical intervention. We used VCUG classification according to International Reflux Study. After 6 and 24 months we did post surgical evaluation, including the same types of analyses mentioned before, to reveal the late postoperative complications. We established reappearance of VUR in 13 cases (4,02%) and ureterovesical junction obstruction in 5 cases (1,55%). In 305 (94,43%) out of total 323 cases the AUCN was successful. The criteria for long-term successfulness were the absence of VUR or obstruction and negative urine culture. Out of total 13 reappearances of VUR, we treated 5 patients with the same technique, all of them with long-term success. The rest of them were treated elsewhere.
Keywords
Antireflux ureterocystoneostomy; Results; Urinary bladder vertex
Hrčak ID:
190878
URI
Publication date:
1.12.2005.
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