Vesicouretral reflux. Congenital vesico-uretero-renal reflux
Conditions
Interventions
Intervention 1: Control: Gil-vernet open surgery
The ureteral orifices are advanced across the trigone by means of a single submucosal mattress suture in order to increase the intramural length and muscular support of each distal ureter. Interventi
In patients with grade I-III VUR, the usual technique of subureteric transurethral injection, with the needle is to be introduced submucosally under the ureteral orifice at the 6 o’clock position'usin
Treatment - Surgery
Control: Gil-vernet open surgery
The ureteral orifices are advanced across the trigone by means of a single submucosal mattress suture in order to increase the intramural length and muscular support of each distal ureter.
Intervention: ?Endoscopic Vantris
Sponsors
Vice Chancellor Of Research Of Tabriz University Of Medical Sciences
Eligibility
Sex/Gender
All
Age
1 Years to 10 Years
Inclusion criteria
Inclusion criteria: Iinclusion criteriae: 1)1-10 years of old ; 2) II to IV grade VURs, as defined below: a) Symptomatic UTIs(such as fever,dysuria,poor feeding, FTT); New renal scarring despite of antibiotic prophylaxis; bilateral VUR; Intolerance to prophylactic antibiotics; parent tendency to surgical repair. Exclusion criteriae: 1)Grades I and V ; 2) previously open or endoscopic surgeries on bladder or ureters ; 3) Anantomic malformations of urinary tract such as obstructive disorders or complete duplication of pyelocaliceal system ; 4)suspicion to or confirmed voiding disorder : a. presence of related clinical findings including abnormal neurologic exam or elimination disorder(instinal and urinary, with together); b.VCUG or ultrasonographic abnormalities such as bladder wall abnormalities or diverticuli ortrabeculation or decreased vesical capacity ; 5)Neurogenic bladder
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Grade of VUR. Timepoint: 3 months. Method of measurement: Grading system for VUR on VCUG, )International Reflux Study Committee ). | — |
Secondary
| Measure | Time frame |
|---|---|
| Unimproved VUR. Timepoint: 3 months. Method of measurement: Grading system for VUR on VCUG, )International Reflux Study Committee ). | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMohammad Reza Roshandel
Tabriz Univercity Of Medical Scinces
Outcome results
None listed