Traitement endoscopique du reflux vésico-rénal chez l'enfant. Bilan de cinq ans d'utilisation de Macroplastique

Translated title of the contribution: Endoscopie treatment of vesicorenal reflux in children. Five-year assessment of the use of Macroplastique

Hubert Dodat, Anne Frédérique Valmalle, Jean Daniel Weidmann, François Collet, Gloria Pelizzo, Rémi Dubois

Research output: Contribution to journalArticle

Abstract

Objective : To compare the results of endoscopic treatment of vesicorenal reflux by Macroplastique implantation versus Teflon implantation. Material and Methods : 297 children with 454 refluxing vesidorenal units were treated by endoscopic implantation of Macroplastique (Rplasty)-A.B.S. : 385 cases of primary reflux and 69 cases of secondary or associated reflux. All children were reviewed by ultrasound and cystography 6 weeks and 1 year after implantation. Results : Regardless of the aetiology and the grade, reflux resolved in 91.2% of children (93.3% of ureters). Complications such as ureteric stasis were rare (3 cases). 161 children (253 ureters) were reviewed 1 year after treatment : reflux had recurred in 8.7% of patients. Conclusion : Although the mean quantity implanted was lower with Macroplastique, the results appeared to be better than those obtained with Teflon (bases on a previous series of 402 children : cure for 87.1% of ureters and 85.7% of children). The advantages of Macroplastique compared to Teflon include the less liquid consistency, the absence of retraction of the product and the presence of larger microparticles without any local or distant inflammatory reaction.

Translated title of the contributionEndoscopie treatment of vesicorenal reflux in children. Five-year assessment of the use of Macroplastique
Original languageFrench
Pages (from-to)1001-1006
Number of pages6
JournalProgres en Urologie
Volume8
Issue number6
Publication statusPublished - 1998

Keywords

  • Child
  • Endoscopic treatment
  • Macroplastique
  • Vesicorenal reflux

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Dodat, H., Valmalle, A. F., Weidmann, J. D., Collet, F., Pelizzo, G., & Dubois, R. (1998). Traitement endoscopique du reflux vésico-rénal chez l'enfant. Bilan de cinq ans d'utilisation de Macroplastique. Progres en Urologie, 8(6), 1001-1006.