Surgical management of vesicoureteral reflux in children
https://doi.org/10.52888/0514-2515-2024-363-4-106-114
Abstract
Vesicoureteral reflux is an anatomical and functional pathology of the upper urinary tract resulting in retrograde flow of urine from the bladder into the ureter. The prevalence of this pathology is approximately 1% of all children. The main goals in the treatment of vesicoureteral reflux are to preserve renal function and minimise the risk of pyelonephritis. Although endoscopic treatment of PMR has become a priority in recent decades, its effectiveness in high-grade reflux is rather low. Therefore, surgical correction remains the main treatment for high-grade reflux. Most surgeons disagree on the choice of a universal surgical technique for the treatment of vesicoureteral reflux. This review presents the most commonly used ureterocystostomies in children with modifications: Lich-Gregoir, Cohen, Glenn-Anderson and Politano-Leadbetter. The prospects of treating reflux megaureter using modifications of the Bischof technique are also analysed.
About the Authors
N. R. Akramov
Kazan State Medical Academy- branch of the Federal State budgetary educational Institution of Additional professional Education of the Russian Medical Academy of Continuing Professional Education of the Ministry of Health of the Russian Federation; SAHI “Republican Clinical Hospital of the Ministry of Health of the Republic of Tatarstan”; SAHI “Children’s Republican Clinical Hospital of the Ministry of Health of the Republic of Tatarstan”
Russian Federation
Russian Federation
Akramov Nail Ramilovich - Doctor of medical sciences, Professor, Head of the Department of Urology, Nephrology and Transplantology, KGMA - branch of FGBOU DPO RMANPO MH RF
B. R. Gimadeev
Kazan State Medical Academy- branch of the Federal State budgetary educational Institution of Additional professional Education of the Russian Medical Academy of Continuing Professional Education of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
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For citations:
Akramov N.R., Gimadeev B.R. Surgical management of vesicoureteral reflux in children. Health care of Tajikistan. 2024;(4):106-114. (In Russ.) https://doi.org/10.52888/0514-2515-2024-363-4-106-114
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