Abstract:

Introduction: Vezikoureteral reflux (VUR) is a common anomaly in childhood. The objective is to identify complications and factors affecting success by evaluating demographic, radiological data, methods of treatment and results of treatment in patients treated with the cause of VUR. Tools and Methods: In our study; patients treated with the cause of the 2007-2014 BUR were evaluated. The diagnosis age, gender, application complaint, VUR etiology and degrees, kidney hydronephrosis degrees, kidney functions, preferred surgical therapy methods (endoscopic injection - ureteroneosistostomy) were recorded, treatment success rates and complications. Patients were evaluated by comparing the factors affecting the success of the surgical treatment according to these parameters. The majority of the total 276 patients (409 kidney-producing units) (70.3%) were angry. 185 of the patients (67%) had primary VUR etiology. The bilateral reflux rate was 48%, the 4-5. degree reflux rate was 54.8%. The average age of men is 2.5 years, and the average age of girls is 6 years. In the girls, the thickness of the mesh walls was seen more. In 220 patients, the endoscopic suburethric injection (STING) was first initiated, and in 56 patients, the ureteroneosystostomy was submitted. 43 patients who did not recover after STING were subsequently performed ureteroneosystostomy. The surgical success rate in patients with non-hydronephrosis or mild hydronephrosis was 90.2%, and in patients with severe hydronephrosis 72.3%. 88% of high-degree VUR patients, 98.3% of low- and medium-degree VUR patients, 83% of poor renal function patients, and 94% of good and medium-degree patients. The success rate of Primary VUR patients was high compared to the secondary VUR (96-85%). At the end of the surgery, the thickness of the mouth wall was 52.2 percent and hydronefrosis was 21.3 percent reduced. Patients who require UNC after STING have higher levels of hydronefrosis and VUR compared to patients healed only with STING; renal parankimal examinations were more and the differentiated kidney functions were lower. Dispute: Shooting is more common in girls. Under the age of one, the percentage of men affected children increases. Our study found that the surgical treatment results were worse in kidney units with a high degree of VUR, low differentiating function and secondary VUR etiology.

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