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• W1965488388 abstract "You have accessJournal of UrologyPediatrics: Urinary Tract Infection & Vesicoureteral Relux1 Apr 2014MP44-12 RISK FACTORS AND OUTCOME OF POSTOPERATIVE URETERAL OBSTRUCTION AFTER ENDOSCOPIC TREATMENT FOR VESICOURETERAL REFLUX Sang Don Lee, Moon Kee Chung, Jeong Zoo Lee, and Jae Min Chung Sang Don LeeSang Don Lee More articles by this author , Moon Kee ChungMoon Kee Chung More articles by this author , Jeong Zoo LeeJeong Zoo Lee More articles by this author , and Jae Min ChungJae Min Chung More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.1387AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail Introduction and Objectives To evaluate incidence, risk factors, management and outcome of postoperative ureteral obstruction after endoscopic injection for vesicoureteral reflux(VUR). Methods Ninety patients undergoing endoscopic injection therapy for vesicoureteral reflux were retrospectively reviewd and classified two groups: ureteral obstruction group (group 1: 7cases, 10ureters; 6.2¡¾8.1years) and non-obstructive group (group 2: 83cases, 169ureters; 7.0¡¾2.8years). We analysed age, sex, injection material, laterality, voiding dysfunction, constipation, renal scar, preoperative and postoperative findings of ultrasound, endoscopic findings, injection number, volume injected. Additionally we reviewed clinical manifestation, natural course, management and outcome of ureteral obstruction after the endoscopic injection. Results Incidence of postoperative ureteral obstruction after endoscopic injection was 4.1% (7/170ureters). There was no significance of risk factors between group 1 and 2. Three of patients did not any symptoms or signs after ureteral obstruction. Most of patients with ureteral obstruction was spontaneously resolved within one month with conservative therapy. However two patients needed temporary ureteral stent insertion for release of ureteral obstruction. Conclusions In our experience, the incidence of ureteral obstruction was similar with previous report. There was no predictive risk factors developing ureteral obstruction after enodoscopic injection therapy. Although most of ureteral obstruction was spontaneously resolved within one month, some cases need drainage to relieve symptoms or to improve renal function. No Age(months) Sex Site Symptoms & signs Duration of obstruction Management Resolved time of obstruction 1 146 F Unilateral fever, pain, UTI 3weeks UTI therapy 4weeks 2 104 M Unilateral No 6weeks Ureteral stent 8weeks 3 27 M Bilateral No 4weeks Conservative 4weeks 4 51 F Unilateral mild fever 1week Conservative 4weeks 5 14 M Unilateral No 4week Conservative 4weeks 6 72 F Bilateral pain, nausea, ARF 1day Ureteral stent 6weeks 7 52 F Bilateral pain 1day Conservative 1week © 2014FiguresReferencesRelatedDetails Volume 191Issue 4SApril 2014Page: e447 Advertisement Copyright & Permissions© 2014MetricsAuthor Information Sang Don Lee More articles by this author Moon Kee Chung More articles by this author Jeong Zoo Lee More articles by this author Jae Min Chung More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ..." @default.
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• W1965488388 date "2014-04-01" @default.
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• W1965488388 title "MP44-12 RISK FACTORS AND OUTCOME OF POSTOPERATIVE URETERAL OBSTRUCTION AFTER ENDOSCOPIC TREATMENT FOR VESICOURETERAL REFLUX" @default.
• W1965488388 doi "https://doi.org/10.1016/j.juro.2014.02.1387" @default.
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