ESPU Congress 2017 - Abstract book

CONGRESS OF THE ESPU

S5-8 (P without presentation)

IS IT POSSIBLE THAT PREOPERATIVE VESICOURETERAL

REFLUX INDEX PREDICT SUCCESS AFTER ENDOSCOPIC

INJECTION SURGERY IN VUR PATIENTS?

Jae Min CHUNG

, Won Yeol CHO

and Sang Don LEE

1) Pusan National University Yangsan Hospital, Urology, Yangsan-Si, REPUBLIC OF KOREA - 2) Dong-A University

Hospital, Urology, Pusan, REPUBLIC OF KOREA

PURPOSE

Vesicoureteral reflux (VUR) index was introduced to predict the natural resolution of VUR. In this

study, we performed study to evaluate the association between preoperative VUR index and out-

come after endoscopic injection surgery in VUR patients.

MATERIAL AND METHODS

Children with primary VUR who performed endoscopic injection surgery and followed more than

six months in our hospital from 2009 to 2016 were enrolled.Patientdemographics, voiding cys-

tourethrogram (VCUG) findings and clinical outcomes over time were assessed. The preoperative

VUR index of all children was confirmed by scoring, respectively. The success was determined the

disappearance of VUR on VCUG after injection therapy.

RESULTS

Seventy six children with VUR (111 ureters) were performed endoscopic injection surgery. The

mean age was 19.8 ± 17.8 months and male to female ratio was 53:23. The grade of VUR was

grade 2 in 9 ureters, grade 3 in 38 ureters, grade 4 in 46 ureters and grade 5 in 18 ureters. After

the endoscopic injection VUR was disappeared in 74 (66.7%). The success rates were all 9 ureters

of one point children (100%), 24 ureters in 28 ureters of two points children (85.7%), 24 ureters in

39 ureters of three points children (61.5%), 15 ureters in 30 ureters of four points children (50%),

and 3 ureters in 5 ureters of five points children (60%). Depending on VUR index score the success

of VUR was significantly reduced (P = 0.005). Postoperative hydronephrosis is occurred 1 ureter

in 9 ureter of one point children (11.1%), 4 ureters in 28 ureters of two points children (14.3%),

4 ureters in 39 ureters three point children (10.3%), 2 ureters in 30 ureters of four point children

(6.7%), and no one of five point children (P = 0.745).

CONCLUSIONS

Preoperative VUR index was significantly associated with success after endoscopic injection sur-

gery and may be useful in clinical trials.

S5-9 (P without presentation)

DOES PREVIOUS ENDOSCOPIC TREATMENT

OF VESICOURETHERAL REFLUX, EFFECT IN THE NEXT

TREATMENT?

Burhan OZDEMIR, Burak CITAMAK, Ali Cansu BOZACI, Mesut ALTAN,

Taner CEYLAN, Hasan Serkan DOGAN and Serdar TEKGUL

Hacettepe University, Urology, Ankara, TURKEY

PURPOSE

To investigate the effect of the preoperative endoscopic procedures in patients which undergoing

surgery for the vesicoureteral reflux (VUR).