Low incidence of new renal scars after ureteral reimplantation for vesicoureteral reflux in children: A prospective study

Citation
Ri. Webster et al., Low incidence of new renal scars after ureteral reimplantation for vesicoureteral reflux in children: A prospective study, J UROL, 163(6), 2000, pp. 1915-1918
Citations number
10
Categorie Soggetti
Urology & Nephrology","da verificare
Journal title
JOURNAL OF UROLOGY
ISSN journal
00225347 → ACNP
Volume
163
Issue
6
Year of publication
2000
Pages
1915 - 1918
Database
ISI
SICI code
0022-5347(200006)163:6<1915:LIONRS>2.0.ZU;2-V
Abstract
Purpose: The major aim of treating vesicoureteral reflux in children is the prevention of renal scars. Dimercapto-succinic acid (DMSA) is the modality of choice for detecting renal scars. We documented the incidence of new re nal scarring and measured changes in differential renal function after uret eral reimplantation using DMSA studies. Materials and Methods: We evaluated 45 boys and 98 girls with a median age of 2 years who had vesicoureteral reflux and underwent ureteral reimplantat ion. DMSA scans were done preoperatively and at a median of 3.4 years posto peratively. Maximal reflux grade was III in 84 children (59%), IV in 27 (19 %) and V in 6 (4%). Results: Preoperatively DMSA studies showed scarred or contracted kidneys i n 106 of the 143 patients (74%). After reimplantation mean change in differ ential function was 2.5%. New scars developed in 3 children (2%). We noted greater than 6% decrease in relative differential function without new scar ring in 7 cases (5%). Conclusions: The incidence of new renal scars in our study using DMSA was l ower than that in previous series using excretory urography and imaging. Su rgical correction of vesicoureteral reflux may offer better protection of k idneys in childhood than previously believed.