Endoscopic correction of vesicoureteric reflux in children
Aim. Assessment of the effectiveness and long-term results of endoscopic correction of vesicoureteral reflux (VUR) in children. Materials and methods. 137 patients with VUR the age of 20 days to 15 years were under observation. The diagnosis of VUR was made on the basis of standard mictiocystography. Along with this, ultrasound, dopplerography, excretory urography, urodynamic methods, etc. were used. In 107 patients, endoscopic correction was performed by introducing an uroimplant in one projection using the STING technique (Suburetral Transuretral Incection). Endoscopic correction by introducing uroimlant in two projections according by Askarov-Ainakulova’s method was performed in 30 patients. Results. After endoscopic correction using to the STING method, in 91.6% of patients in the long-term period, after a single use of the uroimplant, a complete recovery was achieved. Along with this, reccurence was observed in 7 (6.1%) patients with III degree of reflux and in 2 patients (1.7%) with IV-V degrees of reflux (only 9 (8.4%) patients). These patients required re-introduction uroimplant. When studying the long-term results of endoscopic correction by Askarov-Ainakulova’s method, no reccurence was detected in any of the patients. Conclusion. Regardless of the age of the child and the degree of reflux, the elimination of VUR is advisable to start with endoscopic correction, since this allows you to quickly eliminate reflux. In those cases when, after repeated endoscopic correction, a recurrence of reflux is observed, in our opinion, it is advisable to carry out endoscopic correction in two projections, or to perform surgery.