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Salvage ureteral reimplantation after failure of dextranomer/hyaluronic acid injection

, : Salvage ureteral reimplantation after failure of dextranomer/hyaluronic acid injection. Journal of Urology 186(1): 257-260

Ureteroneocystostomy after dextranomer/hyaluronic acid injection is reportedly associated with significantly more morbidity, and increased operative time, length of stay and postoperative obstruction. To evaluate our experience, we reviewed results of patients who underwent salvage ureteral reimplantation following failed dextranomer/hyaluronic acid injection. We retrospectively reviewed charts of patients at a single institution who underwent intravesical ureteral reimplantation as salvage treatment following failed dextranomer/hyaluronic acid injection. Data points such as operative time, blood loss and length of stay were compared to those of controls undergoing de novo reimplantation by the same surgeons. Statistical analysis was performed using Student's t test and chi-square test. We identified 18 patients who underwent salvage reimplant. We compared data to an equal number of controls. Mean age (4.28 years in patients vs 3.34 years in controls, p = 0.62) and mean reflux grade at reimplant (3.15 vs 3.40, p = 0.97) were comparable between the groups. Operative time (128 vs 141.9 minutes, p = 0.14), blood loss (12.9 vs 11.9 ml, p = 0.71) and length of hospital stay (1.68 vs 1.3 days, p = 0.25) were not significantly different. No statistically significant differences were found regarding any of the compared variables. Ureteral reimplantation after dextranomer/hyaluronic acid injection is no more difficult than primary ureteral reimplantation regarding operative time, blood loss and length of hospital stay. These results support dextranomer/hyaluronic acid as initial operative treatment of vesicoureteral reflux when deemed appropriate and may further shift the paradigm of treatment away from prolonged medical management.


PMID: 21575977

DOI: 10.1016/j.juro.2011.03.048

Other references

Novikova A.S.; Chakhmakhchev V.G., 1968: Origin of distortions in the Vatulma structure, central Karelia. English translation of Russian article (see this Bibliography Vol. 33, No. 1, 21 E69-02014).

Malhotra, R.; Marcus, R., 1992: Primary disseminated osteoma cutis without associated Albrights hereditary osteodystrophy. Journal of Cutaneous Pathology 19(6): 536

García-Fernández, Jé.M.; Inglés, Cándido.J.; Marzo, J.C.; Martínez-Monteagudo, Mía.C., 2015: Psychometric properties of the School Anxiety Inventory-Short Version in Spanish secondary education students. The School Anxiety Inventory (SAI) can be applied in different fields of psychology. However, due to the inventory's administration time, it may not be useful in certain situations. To address this concern, the present study developed a short...

Christiansen, J.; Sørensen, M.; Rasmussen, O.O.; Emblem, R.; Sjødahl, R., 1991: Ano-rectal physiology measurements. European Journal of Surgery. Supplement. 564): 73-74

Boggs, D.L.; Kelly, D.L.; McMahon, R.P.; Gold, J.M.; Gorelick, D.A.; Linthicum, J.; Conley, R.R.; Liu, F.; Waltz, J.; Huestis, M.A.; Buchanan, R.W., 2012: Rimonabant for neurocognition in schizophrenia: a 16-week double blind randomized placebo controlled trial. To examine the effect of rimonabant on neurocognitive impairments in people with schizophrenia. Participants entered a 16-week double-blind, placebo-controlled, randomized clinical trial. A neurocognitive battery was administered at baseline and e...

Taraszewska, A., 1986: Morphological characteristics of sudanophilic deposits appearing in abnormal myelination in pt rabbits. Neuropatologia Polska 24(2): 183-194

Dederich, D.N.; Zakariasen, K.L.; Tulip, J., 1984: Scanning electron microscopic analysis of canal wall dentin following neodymium-yttrium-aluminum-garnet laser irradiation. Journal of Endodontics 10(9): 428-431

Ratkiewicz, A.; Huynh, L.K.; Truong, T.N., 2016: Performance of First-Principles-Based Reaction Class Transition State Theory. Performance of the Reaction Class Transition State Theory (RC-TST) for prediction of rates constants of elementary reactions is examined using data from its previous applications to a number of different reaction classes. The RC-TST theory is taki...

Schweppenburg, H.; Freiherr G. von., 1917: Die ornithogeographische Stellung des Tuareg-Berglandes. Journal fuer Ornithologie Leipzig, 65 43-56

Alvarez-Castro, Jé.M.; Carlborg, O., 2007: A unified model for functional and statistical epistasis and its application in quantitative trait Loci analysis. Interaction between genes, or epistasis, is found to be common and it is a key, concept for understanding adaptation and evolution of natural populations, response to selection in breeding programs, and determination of complex disease. Current])...