Current Status of Gil-Vernet Trigonoplasty Technique
نویسندگان
چکیده
Significant controversy exists regarding vesicoureteral reflux (VUR) management, due to lack of sufficient prospective studies. The rationale for surgical management is that VUR can cause recurrent episodes of pyelonephritis and long-term renal damage. Several surgical techniques have been introduced during the past decades. Open anti-reflux operations have high success rate, exceeding 95%, and long durability. The goal of this article is to review the Gil-Vernet trigonoplasty technique, which is a simple and highly successful technique but has not gained the attention it deserves. The mainstay of this technique is approximation of medial aspects of ureteral orifices to midline by one mattress suture. A unique advantage of Gil-Vernet trigonoplasty is its bilateral nature, which results in prevention from contralateral new reflux. Regarding not altering the normal course of the ureter in Gil-Vernet procedure, later catheterization of and retrograde access to the ureter can be performed normally. There is no report of ureterovesical junction obstruction following Gil-Vernet procedure. Gil-Vernet trigonoplasty can be performed without inserting a bladder catheter and drain on an outpatient setting. Several exclusive advantages of Gil-Vernet trigonoplasty make it necessary to reconsider the technique role in VUR management.
منابع مشابه
A NEW APPROACH TO VESICOURETERAL REFLUX PERSISTING AFTER POSTERIOR URETHRAL VALVE ABLATION USING GIL-VERNET ANTIREFLUX TECHNIQUE
Classic anti reflux procedures on children with a history of posterior urethral valve does not usually yield good results and often ends up with ureteral obstruction and even permanent urinary diversion. From 1981 through 1988,21 boys with history of posterior urethral valve (PUV) underwent evaluation for vesicoureteral (VU) reflux 17 boys had VU reflux. Following valve ablation, reflux di...
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Purpose: Prevalence of ureter and kidney duplication is roughly 1 per 125 people, and is associated with vesicoureteral reflux to lower pole in about 45% of cases. From antireflux surgical principles viewpoint, standard antireflux surgeries can be performed in these kidneys without releasing ureters from each other. We studied the results of Gil-Vernet antireflux surgery in 12 patients with dup...
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Classic anti reflux procedures on children with a history of posterior urethral valve does not usually yield good results and often ends up with ureteral obstruction and even permanent urinary diversion. From 1981 through 1988,21 boys with history of posterior urethral valve (PUV) underwent evaluation for vesicoureteral (VU) reflux; 17 boys had VU reflux. Following valve ablation, reflux disapp...
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ورودعنوان ژورنال:
- Advances in Urology
دوره 2008 شماره
صفحات -
تاریخ انتشار 2008