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11–14 APRIL, 2018, HELSINKI, FINLAND
MATERIAL AND METHODS
334 renal units with regular clinical follow-up who were treated due to VUR (vesicoureteral reflux)
between years 2009–2017 were retrospectively reviewed. Preoperative clinical parameters as
grade and laterality of reflux, presence of renal scar, initial and follow-up treatments, findings of
medical treatment and surgical procedures were analysed. The initial medical and surgical methods
were compared by categorizing patients according to risk groups before and after 2013.
RESULTS
Mean age and follow-up duration were 71,4(6–216)months and 47(4–141) months, respec-
tively. VUR gradings of the preoperative voiding cystourethrography were determined as grade
1 in 3(0,9 %),grade 2 in 29(8,7 %),grade 3 in 173(51,8 %),grade 4 in 94(28,1 %) and grade 5 in
35(10,5 %) patients. We have noticed significant decrease of surgical treatment rates in low risk
group after 2013. While no significant difference in medical and surgical treatment rates is observed
after risk grouping system in low risk group, the percents of patients who are treated with surgical
methods initially were significantly decreased in moderate and high risk groups (p:0,002,p:0,012).
(Table).
Table: Distribution of EAU/ESPU VUR classification according to initial treatments.
EAU/ESPU VUR Grouping
Medical
Treatment(%)
Surgical Treatment(%)
p value
Low risk
Before 2013
15(26,8)
41(73,2)
0.179
After 2013
4(50)
4(50)
Moderate risk
Before 2013
44(30,1)
102(69,9)
0.002
After 2013
20(58,8)
14(41,2)
High risk
Before 2013
20(26,7)
55(73,3)
0.012
After 2013
9(60)
6 (40)
Total
112(33)
222(67)
CONCLUSIONS
EAU/ESPU VUR risk grouping system have changed our current practice. This difference caused
us to prefer more conservative methods as initial treatment in all risk groups.
09:01–09:04
S5-5 (PP)
[PRESENTATION GROUPED WITH PREVIOUS] HOW DID
OUR TREATMENTS BEFORE AND AFTER EAU/ESPU VUR
RISK GROUPING SYSTEM AFFECT OUR EARLY SUCCESS
RATES?
Eda TOKAT
1
, Serhat GUROCAK
1
, Iyimser URE
2
, Cenk ACAR
3
, Zafer SINIK
4
and
Ozgur TAN
1
1) Gazi University School of Medicine, Department of Urology, Section of Paediatric Urology, Ankara, TURKEY -
2) Eskisehir Osmangazi University School Of Medicine, Department of Urology, Eskisehir, TURKEY - 3) Eryaman
Hospital, Department of Urology, Ankara, TURKEY - 4) Odak Hospital, Department of Urology, Denizli, TURKEY
PURPOSE
To compare the early clinical results of treatments performed before and after EAU/ESPU VUR
classification due to vesicoureteral reflux.