ESPN 51th Annual Meeting

ESPN 2018


 
Follow-up and Results of Our Vesicoureteral Reflux Diseases
ZEYNEP KARACA 1 NESE OZKAYIN UMIT BASARAN MUSTAFA INAN BURHAN AKSU G√úLAY ALTUN FUNDA KUCUK TUGBA GENCHELLAC NESRIN TURAN 1

1- TRAKYA UNIVERSITY
 
Introduction:

The aim of this study was to evaluate the results of the diagnosis, treatment and follow-up of patients with Vesicoureteral reflux (VUR). 

Material and methods:

The results were evaluated retrospectively. 

 

    

Results:

The mean age was 69.15 ± 47.8 (0-191), of which 82 (65.6%) were female and 43 (34.4% 39 (39.8%) of the patients had stage IV, 34 (13.8%) stage II, 55 (22.3%) stage III, 44 (17.8%) stage IV and 12 (4.8%) stage I VUR patients. 124 patients (125.2%) with no scars were present in 123 patients (49.8%). The VUR scales were as follows;

Scars were found in DMSA in 25 patients (56.8%) in 44 patients, in 28 patients (75.6%) in 37 patients with moderate VUR, in 36 patients (81.8%) in 44 patients with high grade VUR (49.9%) of the 118 renal units (50.9%) in the DMSA, and 114 (49.1%) in the renal unit of the 117 renal units receiving extended treatment. The DMSA scar level was significantly lower than the DMSA scar level in the diagnosis. After surgery, scars were found in DMSA in 31 patients (26.5%) of 117 renal units (renal agenesis in 1) of 59 patients, but no scar was detected in 86 (73.5%) according to VUR scale. VUR grades should not be evaluated. 232 renal units were observed in the renal unit, in 40 (17.2%) cases, VUR was corrected immediately and VUR degree was decreased in 56 cases (24.1%) and VUR degree was increased in 28 cases (12.1%) according to observations. In the interview, a decrease in the VUR scale was detected in 25 of the 74 renal units (33.8%), and an increase was detected in 7 (9.5%) of the renal units. Improvement was observed in 10 of the 28 renal units (35.7%). There was no increase in VUR scale in 12 (42.9%) renal units. 

 

    

Conclusions:

 

 

Treatment of children with vesicoureteral reflux is important for kidney loss and for children with bilateral vesicouteral reflux it is important to prevent chronic kidney failure.