Academic Journal
Does the distal ureteral diameter ratio (UDR) matter in the surgical management of vesicoureteral reflux in children?
| العنوان: | Does the distal ureteral diameter ratio (UDR) matter in the surgical management of vesicoureteral reflux in children? |
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| المؤلفون: | Carlucci M., Damasio M. B., Parodi S., Anfigeno L., Caprioli S., Ottolenghi S., Piaggio G., Fiorenza V., Mattioli G. |
| المساهمون: | Carlucci, M., Damasio, M. B., Parodi, S., Anfigeno, L., Caprioli, S., Ottolenghi, S., Piaggio, G., Fiorenza, V., Mattioli, G. |
| بيانات النشر: | Springer Science and Business Media Deutschland GmbH ONE NEW YORK PLAZA, SUITE 4600, NEW YORK, NY, UNITED STATES |
| سنة النشر: | 2023 |
| المجموعة: | Università degli Studi di Genova: CINECA IRIS |
| مصطلحات موضوعية: | Distal ureteral diameter ratio, Endoscopic VUR treatment, Ureteral reimplantation, Vesicoureteral reflux |
| الوصف: | Purpose: To evaluate UDR reliability, sensitivity, specificity and to identify the best treatment basing on UDR among single or double endoscopic injections and ureteral reimplantation. Methods: Data of patients affected by primary VUR and treated by endoscopic injection over a 10years period were retrospectively analyzed. Two radiologist attributed reflux grade and UDR on voiding cystourethrogram twice and blinded. Follow-up focused on resolution after 1 or 2 endoscopic injections. Relation between UDR, reflux grade and outcomes were analyzed. Results: Patient enrolled were 198. Low grade VUR was present in 24.8%, grade 3 in 41.6%, grade 4–5 in 33.6%. Resolution after one injection was obtained in 88 patients; among 110 not resolved 104 cases had a second injection. Success after 2 injections was reported in 138 cases. UDR showed a higher reliability compared with reflux grade both in intra than inter-reader measurement (ICC > 90%). Success after 1 or 2 injections was reported for UDR < 0.33 and UDR < 0.47 respectively. Conclusion: UDR shows to be a more reliable measurement that allows for an objective estimation of VUR severity and prognosis. It represents a quantitative parameter that might be useful to identify patients who may benefit endoscopic or surgical treatment, avoiding unnecessary under or over-treatment. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | ELETTRONICO |
| اللغة: | English |
| Relation: | info:eu-repo/semantics/altIdentifier/pmid/37589822; info:eu-repo/semantics/altIdentifier/wos/WOS:001049464300001; volume:39; firstpage:249; lastpage:252; numberofpages:4; journal:PEDIATRIC SURGERY INTERNATIONAL; https://hdl.handle.net/11567/1138596; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85168237876 |
| DOI: | 10.1007/s00383-023-05535-6 |
| الاتاحة: | https://hdl.handle.net/11567/1138596 https://doi.org/10.1007/s00383-023-05535-6 |
| رقم الانضمام: | edsbas.834A258C |
| قاعدة البيانات: | BASE |
| DOI: | 10.1007/s00383-023-05535-6 |
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