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There were 76 (41.54%) patients with unilateral and 107 (58.46%) ones with bilateral VUR. 182 refluxing units were grade IV, and 108 were grade V.
Untreated VUR can be associated with pyelonephritic scaring.
In Mirshemirani et al.'s study, 72 patients with VUR underwent Gil-Vernet antireflux surgery; success rate was 96.15%, and there was no postoperative complication .
Contralateral VUR, urinary retention, voiding dysfunction, long operation time, long day's hospitalization, and obstruction are anticipated complications of different techniques of VUR repairment [4, 10, 15], that rarely occur in Gil-Vernet surgery.
Repeat UTIs were presented in 9 patients with grade III-V VUR, The indications for surgery were unimproved VUR, progressive hydronephrosis, and recurrent symptomatic UTIs.
Postoperative complications were observed in one patient: The patient had persistent grade III VUR with breakthrough febrile UTI in the ipsilateral ureter (left ureter) after TBM.
Despite various described techniques for treating VUR, such as invasive endoscopic injection and minimally invasive surgery, conventional open ureteroneocystostomy is the gold standard in VUR treatment.
For treating recurrent VUR, we usually can mobilize sufficient length of ureter for vesico-ureteric reimplantation.
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- Vuoksi River
- VURD syndrome
- Vurdering Af Virkningerne På Miljøet
- Vurgun, Samed