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CONGRESS OF THE ESPU
MATERIAL AND METHODS
The data of 686 patients who were operated for vur between 1997-2016 was analyzed retrospec-
tively. Patients were classified into three groups as low, medium and high risk according to the
criteria in european urology guidelines. Gender, operation type, success rates, postoperative uri-
nary tissue infection rates (UTI), laterality, degree of VUR, renal scar, intervening urinary infections
(IUI) and voiding dysfunction (VD) were compared between groups. The results were analyzed with
SPSS 17.0 software.
RESULTS
Patient numbers for low, medium and high risk were 92 (13.4%), 483 (70.7%) and 109 (15.9%),
respectively. Overall success rate was found 85.3%. Success rates for STING and UNC were
found 75% and 93%, respectively. Bilateral high grade reflux, scarred kidney, voiding dysfunction
was found higher percent in high-risk group. UNC (82.6%) was more preffered in high-risk group
while sting (76.1%) was more preffered in low-risk group. There is not any statistically significant
difference between risk groups for patients treated with STING and UNC. Female patients had
more voiding dysfunction than male patients. Patients with voiding dysfunction had more ratio of
low-grade VUR and endoscopic treatment was more preffered for these patients.
CONCLUSIONS
It is understood that when the patients are classified according to the EAU/ESPU risk classification
endoscopic surgery is more preferred for low-risk group while open surgery is more preffred for
high-risk group. From this point of view open surgery, which seems to have higher success rate, is
more preffered treatment method for high-risk group and the risk classification overlaps the daily
practice.
S5-11 (P without presentation)
WHO IS AT RISK OF RENAL SCAR
AND INTERVENING URINARY INFECTIONS FOR PATIENTS
WITH VESICOURETERAL REFLUX?
Burak CITAMAK, Ali Cansu BOZACI, Mesut ALTAN, Burhan OZDEMIR,
Oguzhan KAHRAMAN, Hasan Serkan DOGAN and Serdar TEKGUL
Hacettepe University, Urology, Ankara, TURKEY
PURPOSE
To determine preoperative factors provide predicting renal scar and preoperative intervening urinary
infections (IUI) for patients operated due to vesicoureteral reflux (VUR).
MATERIAL AND METHODS
The data of 686 patients who were operated for vur between 1997-2016 was analyzed retrospec-
tively. Preoperative parameters were analyzed in terms of renal scar and preoperative IUI separetely
(Parameters are listed in table 1).
RESULTS
The mean age was 69.6±44 months (3-204) and the male to female ratio was founded 250/436.
VUR grade and bilateral disease were found as predictors for renal scar presence. In multivariate
analysis VUR grade was founded to be themost significant factor for renal scar presence (p<0.0001).
Female gender was founded as the only factor for predicting preoperative IUI (p<0.0001).