Vesicoureteric Reflux in Children: a 13-years experience

Objective: We review our thirteen year’s experience (1997 and 2009) with surgical treatment of vesicoureteric reflux (VUR) at King Hussein medical center, pediatric surgery section. Methods: All files of patients who underwent intravesical cross-trigonal uretric reimplantation for VUR, between January1997 and December2009 in our hospital were reviewed. Demographic details, reflux grade, bilaterality, radiological investigations, surgical approach and outcome were analyzed. Results: 334 patients with VUR (grade II to V) underwent uretric reimplantation during the study period. 47.6% of the patients were males and 52.4% were female. The patients were between two and a half months to fourteen years of age. 11.7% were less than one year of age and 61% 5years. 294 (88%) of the patients were classified as primary VUR and 40(12%) as secondary. The duration of follow up was from 8 months to 13 years. Persistent VUR requiring re-do ureteral reimplantation in 18 (5.4%) cases, and nephrectomy due to end- stage renal disease (ESRD) were performed in 33 (9.8%) patients. Successful rate was achieved in 90.2% of cases. Conclusions: The most frequent clinical abnormality leading to the diagnosis of VUR is UTI; the ultimate objective of treatment of VUR is to prevent infection, to allow normal growth and to prevent permanent renal parenchyma damage.