Vesicoureteral reflux of a solitary kidney treated with endoscopic injection therapy comprising tandem injections administered with the assistance of a ureteral guidewire in a young girl

We present the case of a 12-year-old girl with vesicoureteral reflux (VUR) of a solitary kidney treated using a modified hydrodistention implantation technique. A needle was set parallel to the ureteral guidewire inserted through the ureteral orifice before performing injections to correct VUR. Mult...

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Main Authors: Tetsuji Maruyama, Kentaro Mizuno, Hidenori Nishio, Daisuke Matsumoto, Takuya Sakata, Yutaro Hayashi
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Urology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2214442024002754
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author Tetsuji Maruyama
Kentaro Mizuno
Hidenori Nishio
Daisuke Matsumoto
Takuya Sakata
Yutaro Hayashi
author_facet Tetsuji Maruyama
Kentaro Mizuno
Hidenori Nishio
Daisuke Matsumoto
Takuya Sakata
Yutaro Hayashi
author_sort Tetsuji Maruyama
collection DOAJ
description We present the case of a 12-year-old girl with vesicoureteral reflux (VUR) of a solitary kidney treated using a modified hydrodistention implantation technique. A needle was set parallel to the ureteral guidewire inserted through the ureteral orifice before performing injections to correct VUR. Multi-site tandem injections were administered along the wire, which confirmed the direction and length of the ureteral tunnel. The mounds were aligned without ureteral kinking. A reduced volume of dextranomer-hyaluronic acid copolymer (Deflux®) was required to construct an effective anti-reflux tunnel. A voiding cystourethrogram confirmed VUR resolution. This technique avoided complications associated with a solitary kidney.
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institution Kabale University
issn 2214-4420
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publishDate 2025-01-01
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series Urology Case Reports
spelling doaj-art-03215e1488a44932a6fcf960909e221b2025-01-14T04:12:22ZengElsevierUrology Case Reports2214-44202025-01-0158102921Vesicoureteral reflux of a solitary kidney treated with endoscopic injection therapy comprising tandem injections administered with the assistance of a ureteral guidewire in a young girlTetsuji Maruyama0Kentaro Mizuno1Hidenori Nishio2Daisuke Matsumoto3Takuya Sakata4Yutaro Hayashi5Department of Urology, Nagoya City University East Medical Center, Nagoya, JapanDepartment of Pediatric Urology, Nagoya City University Graduate School of Medical Sciences, Nagoya, JapanDepartment of Pediatric Urology, Nagoya City University Graduate School of Medical Sciences, Nagoya, JapanDepartment of Pediatric Urology, Nagoya City University Graduate School of Medical Sciences, Nagoya, JapanDepartment of Pediatric Urology, Nagoya City University Graduate School of Medical Sciences, Nagoya, JapanDepartment of Pediatric Urology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan; Corresponding author. Department of Pediatric Urology, Nagoya City University Graduate School of Medical Sciences, 1, Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, 467-8601, Japan.We present the case of a 12-year-old girl with vesicoureteral reflux (VUR) of a solitary kidney treated using a modified hydrodistention implantation technique. A needle was set parallel to the ureteral guidewire inserted through the ureteral orifice before performing injections to correct VUR. Multi-site tandem injections were administered along the wire, which confirmed the direction and length of the ureteral tunnel. The mounds were aligned without ureteral kinking. A reduced volume of dextranomer-hyaluronic acid copolymer (Deflux®) was required to construct an effective anti-reflux tunnel. A voiding cystourethrogram confirmed VUR resolution. This technique avoided complications associated with a solitary kidney.http://www.sciencedirect.com/science/article/pii/S2214442024002754
spellingShingle Tetsuji Maruyama
Kentaro Mizuno
Hidenori Nishio
Daisuke Matsumoto
Takuya Sakata
Yutaro Hayashi
Vesicoureteral reflux of a solitary kidney treated with endoscopic injection therapy comprising tandem injections administered with the assistance of a ureteral guidewire in a young girl
Urology Case Reports
title Vesicoureteral reflux of a solitary kidney treated with endoscopic injection therapy comprising tandem injections administered with the assistance of a ureteral guidewire in a young girl
title_full Vesicoureteral reflux of a solitary kidney treated with endoscopic injection therapy comprising tandem injections administered with the assistance of a ureteral guidewire in a young girl
title_fullStr Vesicoureteral reflux of a solitary kidney treated with endoscopic injection therapy comprising tandem injections administered with the assistance of a ureteral guidewire in a young girl
title_full_unstemmed Vesicoureteral reflux of a solitary kidney treated with endoscopic injection therapy comprising tandem injections administered with the assistance of a ureteral guidewire in a young girl
title_short Vesicoureteral reflux of a solitary kidney treated with endoscopic injection therapy comprising tandem injections administered with the assistance of a ureteral guidewire in a young girl
title_sort vesicoureteral reflux of a solitary kidney treated with endoscopic injection therapy comprising tandem injections administered with the assistance of a ureteral guidewire in a young girl
url http://www.sciencedirect.com/science/article/pii/S2214442024002754
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