ESPU Congress 2017 - Abstract book

CONGRESS OF THE ESPU

reviewed the outcome of de novo ureteric re-implantation for patient between 1998-2000. All patients

underwent cross-trigonal re-implantation. Post op all children had MCUG and history of further UTI

was recorded. Results were calculated as median, range and percentages. Fisher extract test was

used to calculate P value with a value of <0.05 regarded as significant.

RESULTS

26 patients included, 19 salvage. 14 had bilateral VUR and 5 had unilateral VUR.7 de novo group,

4 had bilateral and 3 had unilateral VUR.In salvage group, 13 were injected once and 6 injected twice.

Median injected amount of in each ureter was 0.5 mls (0.5-2mls). Bilateral ureteric re-implantation

was done in 14 children in salvage group and 4 in de novo group. surgery time in salvage group was

120 minutes (74-360) while in de novo140 (90-180) with a P value of 0.703. Blood loss was minimal

(less than 10 ml) in both groups. No major complications in either group. hospital stay in salvage

group was 5 days (4-7), and in de novo was 6 days (5-10) P value 0.061 follow up was 1 year (1-5)

in both groups. Only one patient in salvage group had persistent unilateral grade 3 VUR on one year

follow up. None of the patients in both groups developed symptomatic UTIs.

CONCLUSIONS

Salvage ureteric re-implantation after failed endoscopic injection has same success rate with no

significant complication rates as compared to denovo ureteric re-implantation for high grade primary

VUR.

S5-13 (P without presentation)

IS THE RENAL SCINTIGRAPHY MANDATORY IN ALL

PATIENTS WITH VESICOURETERAL REFLUX?

Oriol MARTIN-SOLE

, Andrea SORIA-GONDEK

, Sonia PÉREZ-BERTÓLEZ

and Luis GARCÍA-APARICIO

1) Hospital Sant Joan de Déu, Universitat de Barcelona, Barcelona, Spain, Pediatric Urology Division, Pediatric Surgery

Department, Esplugues De Llobregat, SPAIN - 2) Hospital Sant Joan de Déu, University of Barcelona, Barcelona, Spain,

Pediatric Urology Division, Pediatric Surgery Department, Esplugues De Llobregat, SPAIN

PURPOSE

Renal scintigraphy is routinely used to study renal impairment in patients with vesicoureteral reflux

(VUR), but it is invasive and requires radiation exposure. The aim of our study was to analyze if

renal ultrasound (US) is a good predictor of relative renal function (RRF),measured on renal DMSA

scan.

MATERIAL AND METHODS

A retrospective review of all patients with VUR controlled in our division between 2008 and 2016 was

performed. We registered the following variables: sex, reflux grade, laterality, comorbidities, US

renal volume (measured as an ellipsoid volume), US relative renal volume (US-RRV) and DMSA-

RRF. We excluded patients with bilateral or secondary reflux or those with comorbidities.US-RRV

and DMSA-RRF were compared, correlation was studied and the predictability of US to assess

relative renal function was measured.

RESULTS

We reviewed 387 patients, 82 of which had a unilateral primary VUR and no comorbidities. We

registered 41 males and 41 females, with 46 left and 36 right reflux; 39 were low graded (I-III)

and 43 high graded (IV-V).US-RRV strongly correlates with DMSA-RRF (R2=0.849, p<0.001), fol-

lowing the linear function: RRF=0.966*RRV-0.338. US-RRV overestimated DMSA-RRF by 4.4%

(p<0.001).The efficacy of US-RRV in predicting a DMSA-RRF<40% had an 87.5% sensitivity for

RRV<40%, and the area under the ROC curve was 0.82 (0.73-0.91, p<0.001).