The evolution of endourology in the management of pediatric vesicoureteral reflux
The prevalence of vesicoureteral reflux (VUR) has been estimated as 0.4 to 1.8％ among the pediatric population. In children with urinary tract infection the prevalence is typically from 30-50％ with higher incidence occurring in infancy. When correction of VUR is determined to be necessary, traditi...
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| Published in | Japanese Journal of Endourology and Robotics Vol. 36; no. 1; pp. 29 - 31 |
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| Main Author | |
| Format | Journal Article |
| Language | Japanese |
| Published |
Japanese Society of Endourology and Robotics
2023
一般社団法人 日本泌尿器内視鏡・ロボティクス学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 2436-875X |
| DOI | 10.11302/jserjje.36.1_29 |
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| Abstract | The prevalence of vesicoureteral reflux (VUR) has been estimated as 0.4 to 1.8％ among the pediatric population. In children with urinary tract infection the prevalence is typically from 30-50％ with higher incidence occurring in infancy. When correction of VUR is determined to be necessary, traditionally open ureteral reimplantation by a variety of techniques has been the mainstay of treatment. A detailed review of recent literature on the subject is performed find out various aspects of minimally invasive surgery in the treatment of VUR, highlighting evolution of management approaches in endourology. |
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| AbstractList | The prevalence of vesicoureteral reflux (VUR) has been estimated as 0.4 to 1.8％ among the pediatric population. In children with urinary tract infection the prevalence is typically from 30-50％ with higher incidence occurring in infancy. When correction of VUR is determined to be necessary, traditionally open ureteral reimplantation by a variety of techniques has been the mainstay of treatment. A detailed review of recent literature on the subject is performed find out various aspects of minimally invasive surgery in the treatment of VUR, highlighting evolution of management approaches in endourology.
膀胱尿管逆流 (VUR : Vesicoureteral reflux) は, 解剖学的あるいは機能的な異常が原因で, 尿管膀胱移行部の逆流防止機構が未熟, あるいは破綻した結果, 膀胱にたまった尿が尿管から腎盂腎杯あるいは腎内へ逆流する (IRR : Intrarenal reflux) 現象である. 先天的な解剖学的異常や機能的異常により逆流防止機構が不全あるいは未熟で発生する場合は原発性 (primary) VURとよばれ, 下部尿路に器質的な閉塞や神経学的な機能障害が存在し (後部尿道弁, 前部尿道憩室, 尿道低形成, 神経因性膀胱など), 逆流防止機構が破綻した結果で発生する場合には続発性・二次性 (secondary) VURと称される. VURの発生頻度は小児のおよそ1％ (0.4-1.8％) に発生すると推定されているが, 症状をともなわずに潜在する場合も含めた正確な頻度は明らかではない. VURに対する手術療法は, 尿管膀胱新吻合すなわち粘膜下トンネルの延長, 確保により逆流防止機構の獲得と内視鏡的注入療法がある. The prevalence of vesicoureteral reflux (VUR) has been estimated as 0.4 to 1.8％ among the pediatric population. In children with urinary tract infection the prevalence is typically from 30-50％ with higher incidence occurring in infancy. When correction of VUR is determined to be necessary, traditionally open ureteral reimplantation by a variety of techniques has been the mainstay of treatment. A detailed review of recent literature on the subject is performed find out various aspects of minimally invasive surgery in the treatment of VUR, highlighting evolution of management approaches in endourology. |
| Author | Miyakita, Hideshi |
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| References | 9) Cartwright PC, Snow B, Mansfield JC, et al. (1996) Percutaneous endoscopic trigonoplasty : A minimally invasive approach to correct vesicoureteral reflux. J Urol 156 : 661-664 14) Olsen LH, Deding D, Yeung CK, et al. (2003) Computer assisted lapaloscopic pneumovesical ureter reimplantation a.m. Cohen : Initial experience in a pig model. APMIS Suppl 109 : 23-25 11) Gill IS, Ponsky LE, Desai M, et al. (2001) Lapaloscopic cross trigonal Cohen ureteroneocystostomy : Novel technique. J Urol 166 : 1811-1814 12) Yeung CK, Sihoe JDY, Borgi PA (2005) Endoscopic cross-trigonal ureteral reimplantation under carbon dioxide bladder insufflation : a novel technique. J Endourol 19 : 295-299 10) Okamura K, Kato N, Takamura S, et al. (1997) Trigonal splitting is a major complication of endoscopic trigonoplasaty at 1-year follow up. J Urol 157 : 1423-1425 4) Puri P, O’Donnell B (1984) Correction of experimentally produced vesicoureteric reflux in the piglet by intravesical injection of Teflon. Br Med J 289 : 5 13) Soh S, Kobori Y, Shin T, et al. (2015) Transvesico-scopic ureteral reimplantation : Politano-Leadbetter versus Cohen technique. Int J Urol 22 : 394-399 15) Peters C, Woo R (2005) Intravesical robotically assisted bilateral ureteral reimplantation. J Endourol 19 : 618-621 1) Khoury AE, Bägli DJ (2011) Vesicoureteral reflux. Campbell-Walsh Urology. 10th ed. vol. 4. Saunders, Philadelphia, pp. 3267-3309 5) O’Donnell B, Puri P (1986) Endoscopic correction of primary vesicoureteric reflux : results in 94 ureters. Br Med J 293 : 1404 7) Scimberg W, Wacksman R, Rudd R, et al. (1994) Laparoscopic correction of vesicoureteral reflux in the pig. J Urol 151 : 1664-1667 3) Bailey R (1979) Vesicoureteric reflux in healthy infants and children. In : Hodson J, Kincaid-Smith P (eds) Reflux Nephropathy. Masson, New York, pp. 59-61 6) Atala A, Kavoussi LR, Goldstein DS, et al. (1993) Laparoscopic correction of vesicoureteral reflux. J Urol 150 : 748-751 2) Cendron M (2008) Reflux nephropathy. J Pediatr Urol 4 : 414-421 8) Okamura K, Ono Y, Kato T, et al. (1995) Endoscopic trigonoplasty for primary vesico-ureteric reflux. Br J Urol 75 : 390-394 16) Casale P, Patel RP, Kolon TF (2008) Nerve sparing robotic extravesical ureteral reimplantation. J Urol 179 : 1987-1989 |
| References_xml | – reference: 6) Atala A, Kavoussi LR, Goldstein DS, et al. (1993) Laparoscopic correction of vesicoureteral reflux. J Urol 150 : 748-751 – reference: 16) Casale P, Patel RP, Kolon TF (2008) Nerve sparing robotic extravesical ureteral reimplantation. J Urol 179 : 1987-1989 – reference: 11) Gill IS, Ponsky LE, Desai M, et al. (2001) Lapaloscopic cross trigonal Cohen ureteroneocystostomy : Novel technique. J Urol 166 : 1811-1814 – reference: 4) Puri P, O’Donnell B (1984) Correction of experimentally produced vesicoureteric reflux in the piglet by intravesical injection of Teflon. Br Med J 289 : 5 – reference: 5) O’Donnell B, Puri P (1986) Endoscopic correction of primary vesicoureteric reflux : results in 94 ureters. Br Med J 293 : 1404 – reference: 13) Soh S, Kobori Y, Shin T, et al. (2015) Transvesico-scopic ureteral reimplantation : Politano-Leadbetter versus Cohen technique. Int J Urol 22 : 394-399 – reference: 15) Peters C, Woo R (2005) Intravesical robotically assisted bilateral ureteral reimplantation. J Endourol 19 : 618-621 – reference: 1) Khoury AE, Bägli DJ (2011) Vesicoureteral reflux. Campbell-Walsh Urology. 10th ed. vol. 4. Saunders, Philadelphia, pp. 3267-3309 – reference: 10) Okamura K, Kato N, Takamura S, et al. (1997) Trigonal splitting is a major complication of endoscopic trigonoplasaty at 1-year follow up. J Urol 157 : 1423-1425 – reference: 14) Olsen LH, Deding D, Yeung CK, et al. (2003) Computer assisted lapaloscopic pneumovesical ureter reimplantation a.m. Cohen : Initial experience in a pig model. APMIS Suppl 109 : 23-25 – reference: 3) Bailey R (1979) Vesicoureteric reflux in healthy infants and children. In : Hodson J, Kincaid-Smith P (eds) Reflux Nephropathy. Masson, New York, pp. 59-61 – reference: 2) Cendron M (2008) Reflux nephropathy. J Pediatr Urol 4 : 414-421 – reference: 9) Cartwright PC, Snow B, Mansfield JC, et al. (1996) Percutaneous endoscopic trigonoplasty : A minimally invasive approach to correct vesicoureteral reflux. J Urol 156 : 661-664 – reference: 7) Scimberg W, Wacksman R, Rudd R, et al. (1994) Laparoscopic correction of vesicoureteral reflux in the pig. J Urol 151 : 1664-1667 – reference: 12) Yeung CK, Sihoe JDY, Borgi PA (2005) Endoscopic cross-trigonal ureteral reimplantation under carbon dioxide bladder insufflation : a novel technique. J Endourol 19 : 295-299 – reference: 8) Okamura K, Ono Y, Kato T, et al. (1995) Endoscopic trigonoplasty for primary vesico-ureteric reflux. Br J Urol 75 : 390-394 |
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| Title | The evolution of endourology in the management of pediatric vesicoureteral reflux |
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