Ureteral reimplantation during augmentation cystoplasty is not needed for vesicoureteral reflux in patients with neurogenic bladder : a long-term retrospective study

Chiba, Hiroki; Kitta, Takeya; Higuchi, Madoka; Kusakabe, Naohisa; Kon, Masafumi; Nakamura, Michiko; Shinohara, Nobuo

Ureteral reimplantation during augmentation cystoplasty is not needed for vesicoureteral reflux in patients with neurogenic bladder : a long-term retrospective study

Chiba, Hiroki; Kitta, Takeya; Higuchi, Madoka et al.

BMC Urology, 2022, 22(1), 48

Permalink : https://hdl.handle.net/2115/85517

このアイテムのアクセス数:352件（2026-02-11 09:49 集計）

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https://doi.org/10.1186/s12894-022-00997-7

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アクセス権	metadata only access
URI	https://hdl.handle.net/2115/85517
タイトル	Ureteral reimplantation during augmentation cystoplasty is not needed for vesicoureteral reflux in patients with neurogenic bladder : a long-term retrospective study
著者	Chiba, Hiroki ; Kitta, Takeya ; Higuchi, Madoka ; Kusakabe, Naohisa ; Kon, Masafumi ; Nakamura, Michiko ; Shinohara, Nobuo
著者名 Chiba, Hiroki
e-Rad_Researcher 40374441 著者名 Kitta, Takeya
著者名 Higuchi, Madoka
著者名 Kusakabe, Naohisa
著者名 Kon, Masafumi
e-Rad_Researcher 60571718 著者名 Nakamura, Michiko
e-Rad_Researcher 90250422 著者名 Shinohara, Nobuo
言語	英語
キーワード	Neurogenic bladder
	Augmentation cystoplasty
	Ureteral reimplantation
	Vesicoureteral reflux
発行日	2022-03-26
出版者	BioMed Central
収録物名	BMC Urology
巻(号)	22(1)
ページ	48
抄録	Background To investigate the need for ureteral reimplantation for vesicoureteral reflux (VUR) during augmentation cystoplasty (AC) in the long term. Methods A total of 19 patients with a median age at surgery of 14 years (3-38 years) who underwent AC for neurogenic bladder with VUR between 1983 and 2016 were included in this study. The changes in VUR grade and urodynamic findings were retrospectively evaluated. We evaluated the renal function by periodic inspection of serum creatinine level and estimated glomerular filtration rate; eGFR. Results The median follow-up period from AC was 14.8 years (5.7-30 years). VUR was detected in 19 patients, involving 27 ureters. Reflux grade was V in 6, IV in 9, III in 5, II in 6, and I in 1. Ureteral reimplantation was not performed in 18 patients (26 ureters), whereas it was done for 1 patient (1 ureter) in the early era of our experience. Postoperative videourodynamics showed that the reflux was radiologically not verifiable in 23 ureters (85%), was downgraded in 3 ureters (11%), and was unchanged in 1 ureter (3%). There were no cases of deterioration of VUR. Conclusions Ureteral reimplantation is not necessary for VUR during augmentation cystoplasty.
資源タイプ	学術雑誌論文
出版タイプ	Version of Record
PISSN	1471-2490
関連情報 (isIdenticalTo)	出版社版DOI https://doi.org/10.1186/s12894-022-00997-7