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2005, Number 1

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Rev Mex Cir Pediatr 2005; 12 (1)

The endoscopic subureteral application of polidimetilsiloxano (macroplastic) in the management of vesicouretral reflux

Landa-Juárez S, Hernández-Aguilar G, Villatoro-Meza JM, Hernández-Carmona C
Full text How to cite this article

Language: Spanish
References: 7
Page: 5-10
PDF size: 96.64 Kb.


Key words:

Reflux vesicoureteral, Polidimetilsiloxano.

ABSTRACT

Introduction: The conservative treatment in order to that the union ureterovesical matures and that the reflux disappears it has changed dramatically with the use of materials of expansion tisular deposited subureteralmente.
Material and methods: He/she was carried out a prospective study during which you applies polidimetilsiloxano (macroplástico) to 44 pediatric patients that presented reflux vesicoureteral (RVU) of diverse grades, during one period of 1 to 3 years.
Result: They were carried out a total of 44 applications macroplastico subureterales, in patients between 2 and 14 years, in those that the reflux bilateral grade II and III prevailed with pursuit of 6 months to 3 years. The success in the resolution of the reflux with the application of the substance was of 89%.
Discussio: The macroplastico application constitutes a therapeutic alternative of minimum invasion that shortens the time of antibiotic prevention and hospital stay ostensibly.


REFERENCES

  1. Patrick C. Walsh et al. Campbell´s urology. 7th ed. 1998; 61: 1859-96.

  2. Salinas Casado et al. “Nueva clasificación del reflujo vésico ureteral”. Arch Esp Urol 1992; 45: 449.

  3. Schulman CC, et al. «Endoscopic treatment of vesicourethral reflux in children». J Urol 1987; 138: 950-2.

  4. Haferkamp A, M’ohring K, Staehler G, D’orsam J Department of Urology’ University of Heidelberg’ Heidelberg’ Germany. “Pitfalls of repeat subureteral bovine collagen injections for the endoscopic treatment of vesicoureteral reflux”. J Urol 2000; 163: 1919-21.

  5. Joyner BD, et al. “Endoscopic substances for the treatment of vesico ureteral reflux”. Urology 1997; 50: 489-94.

  6. Puri P, Chertin B, Velayudham M, et al. Treatment of vesicoureteral reflux by endoscopic injection of dextranomer/hyaluronic acid copolymer : preminary results. J Urol 2003 ; 170: 1541-4.

  7. Diamond DA, Caldamone AA, Bauer SB, et al. Mechanisms of failure of endoscopic treatment of vesicoureteral reflux based on endoscopic anatomy. J Urol 2003; 170: 1556-9.




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Rev Mex Cir Pediatr. 2005;12