Paper Information

Title: 

RESULTS OF MODIFIED GIL-VERNET ANTIRELFUX SURGERY IN THE TREATMENT OF VESICOURETERAL RELFUX

Type: PAPER
Author(s): ESHRATKHAH R.,IRANI DARYOUSH*
 
 *FAGHIHI AND NEMAZEE HOSPITAL, SHIRAZ UNIVERSITY OF MEDICAL SCIENCES
 
Name of Seminar: CONGREH ANJOMAN UROLOGY IRAN
Type of Seminar:  CONGRESS
Sponsor:  ANJOMAN OROLOGY
Date:  2005Volume 8
 
 
Abstract: 

PURPOSE: TO EVALUATE THE EFFICACY OF MODIFIED GIL-VERNET ANTIREFLUX SURGERY IN THE TREATMENT OF PRIMARY VESICOURETERAL RELFUX.
MATERIALS AND METHODS: A TOTAL OF 30 PATIENTS WITH 46 RELFUXING URETER UNDERWENT THIS SURGERY SINCE FEBRUARY 1998 TILL SEPTEMBER 2002, WITH THE MEAN FOLLOW UP PERIOD OF 18 MONTHS (6 TO 43 MO).
RESULTS: VESICOURETERAL RELFUX WAS CEASED COMPLETELY IN 44 URETERAL UNITS (95.6%), P<0/0001), IN TWO RELFUXING UNITS (4.3%) DESPITE OF CEASING RELFUX, HYDROURETER REMAINED UNCHANGED AFTER SURGERY. IN RESPECT TO RESPONSE RATE, THERE WAS NO SIGNIFICANT DIFFERENCE BETWEEN DIFFERENT GRADES, SEX, AGE AND LATERALITY OF PRIMARY VESICOURETERAL RELFUX.
CONCLUSION: THIS STUDY INDICATES THAT MODIFIED GIL-VERNET ANTIFRELFUX SURGERY WHICH SEPARATELY TRANSFERS EACH URETHRAL ORIFICE TO TIP OF TRIG ONE WITH TWO FINE ABSORBABLE SUTURE EACH SIDE, IS A COMPLETELY SUCCESSFUL PROCEDURE IN TREATMENT OF PRIMARY VESICOURETERAL REFLUX AND PRODUCES A LONGER SUB MUCOSAL TUNNEL WITH A MORE SUITABLE ANGLE THAN CLASSIC GIL-VERNET PROCEDURE.

 
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