﻿<?xml version="1.0" encoding="UTF-8"?>
<ArticleSet>
  <Article>
    <Journal>
      <PublisherName>Nickan Research Institute</PublisherName>
      <JournalTitle>Journal of Renal Injury Prevention</JournalTitle>
      <Issn>2345-2781</Issn>
      <Volume>7</Volume>
      <Issue>2</Issue>
      <PubDate PubStatus="ppublish">
        <Year>2018</Year>
        <Month>06</Month>
        <DAY>01</DAY>
      </PubDate>
    </Journal>
    <ArticleTitle>Endoscopic correction of vesicoureteral reflux in children</ArticleTitle>
    <FirstPage>89</FirstPage>
    <LastPage>93</LastPage>
    <ELocationID EIdType="doi">10.15171/jrip.2018.21</ELocationID>
    <Language>EN</Language>
    <AuthorList>
      <Author>
        <FirstName>Mohsen</FirstName>
        <LastName>Mohammad Rahimi</LastName>
      </Author>
      <Author>
        <FirstName>Surena</FirstName>
        <LastName>Nazarbaghi</LastName>
      </Author>
      <Author>
        <FirstName>Rohollah</FirstName>
        <LastName>Valizadeh</LastName>
      </Author>
      <Author>
        <FirstName>Sanam</FirstName>
        <LastName>Fakour</LastName>
      </Author>
      <Author>
        <FirstName>Meisam</FirstName>
        <LastName>Haghmoradi</LastName>
      </Author>
    </AuthorList>
    <PublicationType>Journal Article</PublicationType>
    <ArticleIdList>
      <ArticleId IdType="doi">10.15171/jrip.2018.21</ArticleId>
    </ArticleIdList>
    <History>
      <PubDate PubStatus="received">
        <Year>2017</Year>
        <Month>10</Month>
        <Day>20</Day>
      </PubDate>
      <PubDate PubStatus="accepted">
        <Year>2018</Year>
        <Month>02</Month>
        <Day>04</Day>
      </PubDate>
    </History>
    <Abstract>Introduction: Dextranomer/hyaluronic (Dx/HA) acid is the only tissue-augmenting agent approved by the Food and Drug Administration (FDA) for the vesicoureteral reflux (VUR) treatment. Objectives: We aimed to evaluate short-term outcomes of the Dx/HA in patients who had undergone subureteric injection. Patients and Methods: In this study, 30 patients with VUR diagnosis who had indications for open surgery were enrolled in the study. Patients underwent subureteric Dx/HA injection. Additionally patients underwent a one-year follow up period, subsequently. Follow up included urine analysis, urine cultures and kidney and urinary tract ultrasonography study. Results: Of a total 30 patients, 8 patients (27%) were male and 22 patients (73%) were female. The mean age of patients was 25.19 ± 0.70 months. Postoperative VUR resolution was observed in 28 patients (93.3%). Moreover, during one year follow up, urinary tract infection (UTI) was not reported in patients. However, recurrent VUR was detected in 8 patients (27%) during ultrasonography follow up. Analysis showed no significant difference of recurrence in VUR between males and females (P = 0.285) and VUR severity (P = 0.1). There was a significant relationship between recurrent UTI history before intervention and VUR recurrence after subureteric injection (P = 0.007). Conclusion: Dx/HA acid subureteric injection provides acceptable resolution rate among VUR patients, but its biodegradability causes VUR recurrence during one-year follow up.</Abstract>
    <ObjectList>
      <Object Type="keyword">
        <Param Name="value">Vesicoureteral reflux</Param>
      </Object>
      <Object Type="keyword">
        <Param Name="value">Dextranomer</Param>
      </Object>
      <Object Type="keyword">
        <Param Name="value">Subureteric injection</Param>
      </Object>
      <Object Type="keyword">
        <Param Name="value">Urinary tract infection</Param>
      </Object>
    </ObjectList>
  </Article>
</ArticleSet>