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Treatment of vesicoureteric reflux in children

https://doi.org/10.52888/0514-2515-2021-350-21-27

Abstract

Aim. To study the efficacy of endoscopic correction of vesicoureteric reflux in children using bulk synthetic material.
Material and methods. From 2016 to 2020, we studied the results of treatment of 63 children with vesicoureteric reflux. The children ranged in age from 6 months to 17 years. The degree of vesicoureteral reflux was as follows: grade I was observed in 2 (3.1%) patients, grade II in 16 (25.3%), grade III in 30 (47.6%), grade IV in 13 (21.98%), and grade V in 2 (3.1%). Among 63 patients with CKD, grade I was found in 26 (41.3%), grade II - in 16 (25.4%); grade III - in 13 (20.6%); grade V - in 2 (3.1%). - III stage - 13 (20,6%); IV stage - 8 (12,7%); IV stage - 4 (12,6%). - (12,7%), and there were no patients with V stage of CKD were absent. Unilateral vesicoureteric reflux was noted in 45 (71.4%) children, bilateral - in 18 (28.5%) children. Endoscopic intravesical correction of vesicoureteral reflux was performed by suburethral injection of “Dam+”.
Results and discussion. Summarizing the results of our study, it should be noted that positive results were achieved concerning the relief of urinary tract infection, elimination of urine outflow from the upper urinary tract, improvement of renal function after PMR correction using “Dam+”. Positive results of VUR correction amounted to 75,01%.
Conclusions. Endoscopic correction of VUR is one of the effective and low-traumatic methods of treatment. Application of the biocompatible synthetic material “Dam+” in the correction of vesicoureteric reflux contributes to positive results.

About the Authors

Kh. Ibodov
SEI Medical and Social Institute of Tajikistan; SEI Postgraduate Institute of Public Health Education of the Republic of Tajikistan
Tajikistan

Ibodov Khabibullo - Doctor of Medical Sciences, Professor



T. Sh. Ikromov
SEI Postgraduate Institute of Public Health Education of the Republic of Tajikistan; State Institution Republican Scientific Clinical Center of Pediatrics and Children’s Surgery of the MoHSP RT
Tajikistan


K. M. Mirakov
SEI Postgraduate Institute of Public Health Education of the Republic of Tajikistan
Tajikistan


K. M. Sayyodov
SEI Medical and Social Institute of Tajikistan
Tajikistan


R. Rofiev
SEI Postgraduate Institute of Public Health Education of the Republic of Tajikistan
Tajikistan


S. K. Asadov
SEI Postgraduate Institute of Public Health Education of the Republic of Tajikistan
Tajikistan


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Review

For citations:


Ibodov Kh., Ikromov T.Sh., Mirakov K.M., Sayyodov K.M., Rofiev R., Asadov S.K. Treatment of vesicoureteric reflux in children. Health care of Tajikistan. 2021;(3):21-27. (In Russ.) https://doi.org/10.52888/0514-2515-2021-350-21-27

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ISSN 0514-2415 (Print)