PURPOSE Dextranomer/hyaluronic acid injection of ureteral orifices is a popular option in the treatment of vesicoureteral reflux, with success rates ranging from 69% to 89%. We found only 1 study that followed patients beyond the initial postoperative voiding cystourethrogram, which describes a 96% success rate at 2 to 5 years but defines success as "nondilating" reflux. We examined our dextran...

Aetna considers endoscopic injection of dextranomer/hyaluronic acid copolymer (Deflux), polydimethylsiloxane (Macroplastique), polytetrafluoroethylene (Teflon), or other bulking agents approved by the U.S. Food and Drug Administration (FDA) for vesicoureteral reflux (VUR) medically necessary for the treatment of members with primary or secondary VUR who have any of the following conditions when...

A 46 year old female patient with history of recurrent urinary tract infections and complete bilateral pelvicalyceal system duplication with bilateral vesicoureteral reflux, more pronounced on the right side (Figure 1). She presented a very small bladder capacity related to chronic cystitis. She was also diagnosed of right renal atrophy, presenting a radioisotope renogram with 19% of right rena...

Anorectal malformations are frequently associated with urinary tract abnormalities, which generally consist of vesicoureteral reflux, renal agenesis, and bladder dysfunction. Posterior urethral valves associated with anorectal malformations are exceedingly rare. We report the third case described in literature and the unique management.

We report on a male infant with congenital hypothyroidism owing to athyreosis occurring with the CHARGE association (bilateral papillary coloboma, congenital heart disease, dysmorphic ears, sensorineural deafness, psychomotor retardation, cryptorchidism, facial palsy, and vesicoureteral reflux). The coexistence of these two disorders has not been described previously.

Jarcho Levin syndrome is a rare disorder. There are various vertebral and costal anomalies. Severe deformities and abnormal fusion of ribs and vertebrae cause respiratory insufficiency and pneumonia. We present anaesthesia in a patient with Jarcho Levin syndrome for vesicoureteral reflux.

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 disappe...

We describe the case of a previously healthy 7-month-old male infant with urinary tract infection due to Staphylococcus epidermidis grown from two separate urine cultures. Further evaluation showed severe bilateral vesicoureteral reflux. Physicians should not assume that S. epidermidis is always a contaminant in urine cultures.