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POINT-COUNTER-POINT
Year : 2008  |  Volume : 24  |  Issue : 4  |  Page : 478-479

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


Department of Urology, Jalsok Hospital, Mumbai 400 026, India

Correspondence Address:
S S Joshi
"Kamala Kunj", 212 Lady Jehangir Road, Matunga, Mumbai-400019
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-1591.44251

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Endoscopic injection treatment for VUR appears to have less success rate than open surgical treatment, even in Gr 3 VUR. Economics of use of deflux injection and its success rate do not suit Indian milieu. To achieve high success rate of Atlanta group in endoscopic injection treatmnent , requires a longer learning curve and yet it has not achieved success rate of 96-98% achieved by open surgical techniques. Recent addition of modified extravesical reimplantation technique has reduced significantly the post operative pain and patient can be discharged within 2 days from the hospital.


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