Vesicoureteric reflux in children: a 13-years experience

ABSTRACT

We review our thirteen year's experience [1997 and 2009] with surgical treatment of vesicoureteric reflux [VUR] at King Hussein medical center, pediatric surgery section. All files of patients who underwent intravesical cross-trigonal uretric reimplantation for VUR, between January 1997 and December2009 in our hospital were reviewed. Demographic details, reflux grade, bilaterality, radiological investigations, surgical approach and outcome were analyzed. 334 patients with VUR [grade II to V] underwent uretric reimplantation during the study period. 47.6% of the patients were males and 52.4% were female. The patients were between two and a half months to fourteen years of age. 11.7% were less than one year of age and 61% < 5years. 294 [88%] of the patients were classified as primary VUR and 40[12%] as secondary. The duration of follow up was from 8 months to 13 years. Persistent VUR requiring re-do ureteral reimplantation in 18 [5.4%] cases, and nephrectomy due to end- stage renal disease [ESRD] were performed in 33 [9.8%] patients. Successful rate was achieved in 90.2% of cases. The most frequent clinical abnormality leading to the diagnosis of VUR is UTI; the ultimate objective of treatment of VUR is to prevent infection, to allow normal growth and to prevent permanent renal parenchyma damage