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Title

GIL-VERNET ANTIREFLUX SURGERY IN TREATMENT OF LOWER POLE REFLUX

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Abstract

 Purpose: Prevalence of ureter and kidney duplication is roughly 1 per 125 people, and is associated with vesicoureteral reflux to lower pole in about 45% of cases. From antireflux surgical principles viewpoint, standard antireflux surgeries can be performed in these kidneys without releasing ureters from each other. We studied the results of Gil-Vernet antireflux surgery in 12 patients with duplicated collecting system and lower pole reflux. Materials and Methods: Between 1996 and 2000, 12 patients with unilateral duplicated system underwent Gil-Vernet antireflux surgery. There were 8 (67%) females and 4 (33%) males with a median age of 5.6 years. Of the patients, 50% had unilateral lower pole reflux in duplex system and 50% had bilateral reflux. Results: Twelve patients with lower pole reflux in duplicated system, and overall, 18 refluxing renal units were treated, using Gil-Vernet antireflux surgery. In 11 (92%) patients, upper pole orifices were non-refluxing and without ureterocele. One (8%) patient had upper pole ureterocele that was treated by a small medial incision in the same session. Median hospital stay was 4 days, and median follow-up was 10 months, in 10 patients who were followed. Of patients, 80% and of refluxing units, 94% improved. Overall, success rate was 88%. Conclusion: Gil-Vernet antireflux surgery is a simple technique, associating with minimum ureteral manipulation for releasing them. Accordingly, we recommend Gil-Vernet antireflux surgery as the first line surgical modality for duplicated ureters with lower pole reflux, without upper pole ureterocele.

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    APA: Copy

    KAZEMI RASHED, F., & SIMFOROOSH, N.. (2005). GIL-VERNET ANTIREFLUX SURGERY IN TREATMENT OF LOWER POLE REFLUX. UROLOGY JOURNAL, 2(1), 0-0. SID. https://sid.ir/paper/270677/en

    Vancouver: Copy

    KAZEMI RASHED F., SIMFOROOSH N.. GIL-VERNET ANTIREFLUX SURGERY IN TREATMENT OF LOWER POLE REFLUX. UROLOGY JOURNAL[Internet]. 2005;2(1):0-0. Available from: https://sid.ir/paper/270677/en

    IEEE: Copy

    F. KAZEMI RASHED, and N. SIMFOROOSH, “GIL-VERNET ANTIREFLUX SURGERY IN TREATMENT OF LOWER POLE REFLUX,” UROLOGY JOURNAL, vol. 2, no. 1, pp. 0–0, 2005, [Online]. Available: https://sid.ir/paper/270677/en

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