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POINT-COUNTER-POINT
Year : 2008  |  Volume : 24  |  Issue : 4  |  Page : 475-477

Endoscopic management is the preferred "treatment" modality for grade III vesicoureteric reflux with breakthrough infections in a young girl


Department of Urology, KLES Kidney Foundation, Nehrunagar, Belgaum-590 010, India

Correspondence Address:
R B Nerli
Department of Urology, KLES Kidney Foundation, Nehrunagar, Belgaum-590 010
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-1591.44250

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Endoscopic subureteric injection of tissue-augmenting substances has become an alternative to long-term antibiotic prophylaxis and open surgery, in the treatment of children with vesicoureteric reflux (VUR). Successful elimination of reflux in about 80% of patients after a single injection (and in 90% after a repeat) has been achieved using non-degradable substances. young girl with grade III VUR and breakthrough infections would definitely need to undergo antireflux procedure. Endoscopic treatment would be an ideal procedure as it is a one-day surgery, with over 80% success rate, low morbidity and no long-term complications. Moreover, this form of surgery is appealing to, as well as the choice of the majority of parents.


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