Lich-gregoir procedure in treatment of the vesicoureteral reflux.
Vesicoureteral reflux is a major problem in childhood affecting 1% of all children. There are various surgical methods for vesicoureteral reflux treatment. Current study evaluates effectiveness and success rate of the Lich-gregoir procedure in treatment of the vesicoureteral reflux. In a descriptive-analytical study, 32 children with 47 reflux unit underwent Lich-gregoir anti-reflux procedure in Imam Reza and Amir-al-Momenin Hospitals, Tabriz between March 2008 and August 2011. Surgery outcome and success rate, sonographic findings and complications rate were recorded in follow-up. Patients mean age was 5.85 +/- 3.81 years. 28.1% were male and 71.9% were female. Reflux was unilateral in 53.1% and bilateral in 46.9%. Vesicoureteral reflux grade I to V was in one, 1, 13, 22 and ten patients, respectively. Voiding Cystourethrogram (VCUG) findings were abnormal in all cases before operation. Surgery success rate in first 6 months was 95.7% and was 100% in 8 months after operation. Hydronephrosis disappeared after operation in all cases. Complication occurred in 2 cases (6.25%) with bilateral reflux including urinary intention and lymphocele. Lich-gregoir anti-reflux procedure technique is accompanied with higher success rate, low complication and hydronephrosis improvement and is an appropriate treatment for vesicoureteral reflux in children.
Department of Urology, Tabriz University of Medical Sciences, Tabriz, Iran.
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Nourizadeh
Department of Urology, Tabriz University of Medical Sciences, Tabriz, Iran.
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Houshagi
Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.
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Goldust
D016009:Chi-Square Distribution; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000209:etiology; D008210:Lymphocele / Q000209:etiology; D008297:Male; D012720:Severity of Illness Index; D016896:Treatment Outcome; D016055:Urinary Retention / Q000209:etiology; D014563:Urodynamics; D013520:Urologic Surgical Procedures / Q000009:adverse effects; D014718:Vesico-Ureteral Reflux / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*