AI Article Synopsis
- - The study aimed to evaluate how bladder neck shape and incision impacts the need for early follow-up procedures in infants with posterior urethral valve (PUV) after their initial surgery.
- - A total of 114 patients were divided into three groups based on bladder neck appearance, and their need for additional interventions within six months after surgery was assessed.
- - Results showed no significant differences in re-admission or re-intervention rates among the groups, indicating that performing bladder neck incision alongside PVA does not lower the chances of needing further treatment.
Article Abstract
Objective: To assess the effect of bladder neck morphology and its incision (BNI) in patients with posterior urethral valve (PUV) on early reintervention rate.
Patients And Methods: Infants undergoing PUV ablation (PVA) before 24 months of age and had at least 18 months of follow-up, were categorized into three groups according to the bladder neck appearance on baseline radiological and endoscopic examination: group 1; normal bladder neck underwent PVA, group 2; high bladder neck underwent PVA plus BNI, group 3; high bladder neck underwent PVA only. Early reintervention was defined as the need for check cystoscopy because of persistent renal function deterioration, worsening hydronephrosis and/or unsatisfactory VCUG improvement during the 1st six months post primary PVA.
Results: Between 2000 and 2017, a total of 114 patients underwent PVA and met the study criteria with a median follow-up of 58 (18-230) months. For group 1, 16 (22.9%) patients needed readmission. Check cystoscopy was free and no further intervention was performed in 5(7.5%) and re-ablation was performed in 11(15.7%) patients. For group 2, 3(14.3%) patients needed reintervention. Re-ablation and re-ablation plus BNI were performed in 1(4.8%) and 2(9.5%), respectively. For group 3, cystoscopy was free in 1(4.3%), re-ablation and re-ablation plus BNI were performed 2(8.7%) and 1(4.3%), respectively. There were no significant differences in the re-admission and re-intervention rates among the three study groups (p=0.65 and p=0.50, respectively).
Conclusion: In morphologically high bladder neck associated PUV, concomitant BNI with PVA doesn't reduce early re-intervention rate.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9060171 | PMC |
| http://dx.doi.org/10.1590/S1677-5538.IBJU.2021.0383 | DOI Listing |
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