Zilberman D E, Mor Y
Department of Urology, The Chaim Sheba Medical Center, Sackler School of Medicine, Tel-Aviv University, Tel-Hashomer, Ramat-Gan 52621, Israel.
Adv Urol. 2008;2008:361324. doi: 10.1155/2008/361324. Epub 2009 Mar 10.
Primary vesicoureteral reflux (VUR), traditionally considered a problem of childhood, can also be detected during adulthood. However, while the concept regarding the therapeutic management of VUR in children has undergone revolutionary changes, moving from surgical to conservative approach, the optimal therapeutic approach in adult reflux is poorly addressed and is still unknown. Herein, we review clinical and therapeutic approaches of VUR in pediatric population as published throughout the years. With the introduction of Deflux injection as a minimally invasive procedure, we identify a beginning of a new trend that further extends the indications for endoscopic injections, including its introduction to adult patients as well.
原发性膀胱输尿管反流(VUR)传统上被认为是儿童期的问题,但在成年期也可被检测到。然而,虽然儿童VUR治疗管理的理念已经历了革命性的变化,从手术治疗转向保守治疗,但成人反流的最佳治疗方法却很少被提及,仍然未知。在此,我们回顾多年来发表的关于儿科人群VUR的临床和治疗方法。随着Deflux注射作为一种微创手术的引入,我们发现了一种新趋势的开端,这种趋势进一步扩大了内镜注射的适应症,包括将其引入成年患者。