Abstract

SANJUAN RODRIGUEZ, Santiago et al. Long-term results of the endoscopic treatment of vesicoureteral reflux. Arch. Esp. Urol. [online]. 2008, vol.61, n.2, pp.301-310. ISSN 0004-0614.

Objectives: To analize results and late complications in patients with vesicoureteral reflux, treated by endoscopic treatment and with several substances. Methods: In a long bibliographic review we analize results, recurrences and late complications with this treatment using different substances. Results/Conclusions: In spite of the prescribed substance, VUR may recur several years af-ter treatment. These cases are of low grade and most disappear after a new session of ET. VUR can also appear in the other side, not knowing in fact why this happens. Grade IV -V reflux, and also VUR secondary to organic and functional pathology, can be resolved by endoscopic treatment, although the percentage of good results is lower. Parents have to be informed, in detail, of the three therapeutic options for reflux, (medical, en-doscopic, and open surgery), and participate in the final decision. Parents use to prefer ET. According to the number of patients treated by ET and the number of follow-up years that possible side effects have been observed, most authors consider that ET is a safe treatment, and it is currently the treatment of choice for patients with reflux.

Keywords : Vesicoureteral reflux; Endoscopic treatment.

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