Utility of an intra-operative cystogram with a simulated voiding phase after endoscopic treatment of vesicoureteral reflux.

Adam E. Perlmutter, Can Talug, Sarah S. Darbandi, Rocco Morabito, William F. Tarry

    Research output: Contribution to journalArticle

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    Abstract

    PURPOSE: To assess the utility of intraoperative cystogram with a simulated voiding phase after endoscopic treatment of vesicoureteral reflux (VUR). METHODS: From September 2003 to June 2005, 24 children underwent injection of deflux for the treatment of VUR. A total of 38 ureters were treated. After deflux injection, our most recent 14 patients had a cystogram with simulated voiding phase to assess for the presence of VUR. All patients were scheduled for a voiding cystourethrogram (VCUG) three months postoperatively to assess for persistent reflux. The surgery was considered a success only if patients did not demonstrate reflux on their postoperative VCUG. RESULTS: Of the 24 patients undergoing deflux injection, 14 had complete resolution of their VUR. Eight patients had persistent VUR and 2 patients were lost to follow-up. A total of 38 ureters were injected. Twenty-seven ureters no longer refluxed, while 8 ureters continued to reflux and 3 ureters were lost to follow-up. Fourteen patients had an intra-operative cystogram with simulated voiding phase. The intra-operative cystogram with simulated voiding phase was negative in all patients except for one patient who demonstrated the presence of de novo contralateral VUR. There were 7 true negatives on intra-operative cystogram with a simulated voiding phase and 6 false negatives. CONCLUSIONS: Our results of endoscopic treatment of VUR compare well to the results reported by others in the literature. An intra-operative cystogram may demonstrate unsuspected contralateral reflux but does not appear to predict the success of deflux injections.

    Original languageEnglish (US)
    Pages (from-to)22-24
    Number of pages3
    JournalThe West Virginia medical journal
    Volume104
    Issue number4
    StatePublished - Jul 2008

    Fingerprint

    Vesico-Ureteral Reflux
    Ureter
    Injections
    Therapeutics
    Lost to Follow-Up
    Cystography
    deflux

    ASJC Scopus subject areas

    • Medicine(all)

    Cite this

    Utility of an intra-operative cystogram with a simulated voiding phase after endoscopic treatment of vesicoureteral reflux. / Perlmutter, Adam E.; Talug, Can; Darbandi, Sarah S.; Morabito, Rocco; Tarry, William F.

    In: The West Virginia medical journal, Vol. 104, No. 4, 07.2008, p. 22-24.

    Research output: Contribution to journalArticle

    Perlmutter, Adam E. ; Talug, Can ; Darbandi, Sarah S. ; Morabito, Rocco ; Tarry, William F. / Utility of an intra-operative cystogram with a simulated voiding phase after endoscopic treatment of vesicoureteral reflux. In: The West Virginia medical journal. 2008 ; Vol. 104, No. 4. pp. 22-24.
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    abstract = "PURPOSE: To assess the utility of intraoperative cystogram with a simulated voiding phase after endoscopic treatment of vesicoureteral reflux (VUR). METHODS: From September 2003 to June 2005, 24 children underwent injection of deflux for the treatment of VUR. A total of 38 ureters were treated. After deflux injection, our most recent 14 patients had a cystogram with simulated voiding phase to assess for the presence of VUR. All patients were scheduled for a voiding cystourethrogram (VCUG) three months postoperatively to assess for persistent reflux. The surgery was considered a success only if patients did not demonstrate reflux on their postoperative VCUG. RESULTS: Of the 24 patients undergoing deflux injection, 14 had complete resolution of their VUR. Eight patients had persistent VUR and 2 patients were lost to follow-up. A total of 38 ureters were injected. Twenty-seven ureters no longer refluxed, while 8 ureters continued to reflux and 3 ureters were lost to follow-up. Fourteen patients had an intra-operative cystogram with simulated voiding phase. The intra-operative cystogram with simulated voiding phase was negative in all patients except for one patient who demonstrated the presence of de novo contralateral VUR. There were 7 true negatives on intra-operative cystogram with a simulated voiding phase and 6 false negatives. CONCLUSIONS: Our results of endoscopic treatment of VUR compare well to the results reported by others in the literature. An intra-operative cystogram may demonstrate unsuspected contralateral reflux but does not appear to predict the success of deflux injections.",
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