The Value of PIC Cystography in Detecting De Novo and Residual Vesicoureteral Reflux after Dextranomer/Hyaluronic Acid Copolymer Injection
The endoscopic injection of Dx/HA in the management of vesicoureteral reflux (VUR) has become an accepted alternative to open surgery. In the current study we evaluated the value of cystography to detect de novo contralateral VUR in unilateral cases of VUR at the time of Dx/HA injection and correlat...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | International Journal of Nephrology |
| Online Access: | http://dx.doi.org/10.4061/2011/276308 |
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| author | B. W. Palmer M. Hemphill K. Wettengel B. P. Kropp D. Frimberger |
| author_facet | B. W. Palmer M. Hemphill K. Wettengel B. P. Kropp D. Frimberger |
| author_sort | B. W. Palmer |
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| description | The endoscopic injection of Dx/HA in the management of vesicoureteral reflux (VUR) has become an accepted alternative to open surgery. In the current study we evaluated the value of cystography to detect de novo contralateral VUR in unilateral cases of VUR at the time of Dx/HA injection and correlated the findings of immediate post-Dx/HA injection cystography during the same anesthesia to 2-month postoperative VCUG to evaluate its ability to predict successful surgical outcomes. The current study aimed to evaluate whether an intraoperatively performed cystogram could replace postoperative studies. But a negative intraoperative cystogram correlates with the postoperative study in only 80%. Considering the 75–80% success rate of Dx/HA implantation, the addition of intraoperative cystograms cannot replace postoperative studies. In patients treated with unilateral VUR, PIC cystography can detect occult VUR and prevent postoperative contralateral new onset of VUR. |
| format | Article |
| id | doaj-art-251af951fb9447f2b038dd54263da8cd |
| institution | Kabale University |
| issn | 2090-214X 2090-2158 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Nephrology |
| spelling | doaj-art-251af951fb9447f2b038dd54263da8cd2025-08-20T03:54:52ZengWileyInternational Journal of Nephrology2090-214X2090-21582011-01-01201110.4061/2011/276308276308The Value of PIC Cystography in Detecting De Novo and Residual Vesicoureteral Reflux after Dextranomer/Hyaluronic Acid Copolymer InjectionB. W. Palmer0M. Hemphill1K. Wettengel2B. P. Kropp3D. Frimberger4Section of Pediatric Urology, Department of Urology, University of Oklahoma Health Sciences Center, 920 Stanton L. Young Blvd, WP-3150, Oklahoma City, OK 73104, USASection of Pediatric Urology, Department of Urology, University of Oklahoma Health Sciences Center, 920 Stanton L. Young Blvd, WP-3150, Oklahoma City, OK 73104, USASection of Pediatric Urology, Department of Urology, University of Oklahoma Health Sciences Center, 920 Stanton L. Young Blvd, WP-3150, Oklahoma City, OK 73104, USASection of Pediatric Urology, Department of Urology, University of Oklahoma Health Sciences Center, 920 Stanton L. Young Blvd, WP-3150, Oklahoma City, OK 73104, USASection of Pediatric Urology, Department of Urology, University of Oklahoma Health Sciences Center, 920 Stanton L. Young Blvd, WP-3150, Oklahoma City, OK 73104, USAThe endoscopic injection of Dx/HA in the management of vesicoureteral reflux (VUR) has become an accepted alternative to open surgery. In the current study we evaluated the value of cystography to detect de novo contralateral VUR in unilateral cases of VUR at the time of Dx/HA injection and correlated the findings of immediate post-Dx/HA injection cystography during the same anesthesia to 2-month postoperative VCUG to evaluate its ability to predict successful surgical outcomes. The current study aimed to evaluate whether an intraoperatively performed cystogram could replace postoperative studies. But a negative intraoperative cystogram correlates with the postoperative study in only 80%. Considering the 75–80% success rate of Dx/HA implantation, the addition of intraoperative cystograms cannot replace postoperative studies. In patients treated with unilateral VUR, PIC cystography can detect occult VUR and prevent postoperative contralateral new onset of VUR.http://dx.doi.org/10.4061/2011/276308 |
| spellingShingle | B. W. Palmer M. Hemphill K. Wettengel B. P. Kropp D. Frimberger The Value of PIC Cystography in Detecting De Novo and Residual Vesicoureteral Reflux after Dextranomer/Hyaluronic Acid Copolymer Injection International Journal of Nephrology |
| title | The Value of PIC Cystography in Detecting De Novo and Residual Vesicoureteral Reflux after Dextranomer/Hyaluronic Acid Copolymer Injection |
| title_full | The Value of PIC Cystography in Detecting De Novo and Residual Vesicoureteral Reflux after Dextranomer/Hyaluronic Acid Copolymer Injection |
| title_fullStr | The Value of PIC Cystography in Detecting De Novo and Residual Vesicoureteral Reflux after Dextranomer/Hyaluronic Acid Copolymer Injection |
| title_full_unstemmed | The Value of PIC Cystography in Detecting De Novo and Residual Vesicoureteral Reflux after Dextranomer/Hyaluronic Acid Copolymer Injection |
| title_short | The Value of PIC Cystography in Detecting De Novo and Residual Vesicoureteral Reflux after Dextranomer/Hyaluronic Acid Copolymer Injection |
| title_sort | value of pic cystography in detecting de novo and residual vesicoureteral reflux after dextranomer hyaluronic acid copolymer injection |
| url | http://dx.doi.org/10.4061/2011/276308 |
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