1- Urology & Nephrology Research center, Hamadan University of Medical Sciences, Hamadan, Iran , mao.mohseni@gmail.com
2- Urology & Nephrology Research center, Hamadan University of Medical Sciences, Hamadan, Iran
2- Urology & Nephrology Research center, Hamadan University of Medical Sciences, Hamadan, Iran
Abstract: (20 Views)
Introduction: vesicoureteral reflux (VUR) is a condition where urine flows backward from the bladder into the ureter and upper urinary tract. It is a common urologic anomaly in children, particularly those with urinary tract infections (UTI). Many techniques have been proposed to manage this disorder, one of which is Gil-Vernet anti-reflux surgery.
Materials & Methods: This retrospective study included 77 children under 12 years old who underwent Gil-Vernet surgery for moderate to high grade VUR. The outcomes of the surgical intervention were evaluated.
Results: The results showed that the Gil-Vernet technique had a high success rate, with 89.6% of patients experiencing complete resolution of reflux. The success rate was even higher at 91.5% when considering individual ureteral units. Treatment failure occurred in eight patients and nine ureteral units, but these were associated with lower degrees of reflux, indicating relative improvement. The mean duration of surgery was 57 minutes, and the average hospitalization period was 2.33 days. The patients were followed up for an average of 33 months after surgery.
Conclusion: These findings suggest that Gil-Vernet technique is an effective, simple and safe treatment option for children with VUR grades three to four. The simplified intra-bladder approach of this technique offers advantages such as shorter surgical duration and reduced hospitalization time. Further research and long-term follow-up studies are warranted to validate these results and assess the durability of the surgical outcomes.
Materials & Methods: This retrospective study included 77 children under 12 years old who underwent Gil-Vernet surgery for moderate to high grade VUR. The outcomes of the surgical intervention were evaluated.
Results: The results showed that the Gil-Vernet technique had a high success rate, with 89.6% of patients experiencing complete resolution of reflux. The success rate was even higher at 91.5% when considering individual ureteral units. Treatment failure occurred in eight patients and nine ureteral units, but these were associated with lower degrees of reflux, indicating relative improvement. The mean duration of surgery was 57 minutes, and the average hospitalization period was 2.33 days. The patients were followed up for an average of 33 months after surgery.
Conclusion: These findings suggest that Gil-Vernet technique is an effective, simple and safe treatment option for children with VUR grades three to four. The simplified intra-bladder approach of this technique offers advantages such as shorter surgical duration and reduced hospitalization time. Further research and long-term follow-up studies are warranted to validate these results and assess the durability of the surgical outcomes.
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