Long-Term follow-up of Trigonoplasty Antireflux Operation. Issue 1 (February 2017)

• Record Type: Journal Article
• Authors: Sharifiaghdas, Farzaneh; Mahmoudnejad, Nastaran; Kashi, Amir H.; Ramezani, Mehdi H.; Narouie, Behzad
• Is Part Of: Urologia journal. Volume 84:Issue 1(2018)
• Page Start: 48
• Page End: 50
• Publication Date: 2017-02
• Subjects: Gil-Vernet -- trigonoplasty -- vesico-ureteral reflux; Urology -- Periodicals; 616.6005
• DOI: 10.5301/uro.5000212
• Languages: English
• ISSNs: 0391-5603

Abstract

Background: Open trigonoplasty antireflux operation has been associated with promising results. However, its success in controlling reflux has not been evaluated in the long term. Methods: All patients who underwent trigonoplasty for vesicoureteral reflux by one surgeon from 2004 to 2014 were included. Pre-Operative evaluations included direct radionuclide cystography (DRNC) or voiding cystourethrography, urine analysis and culture and abdominal sonography. Urodynamic study and cystoscopy was performed in selected patients. Trigonoplasty was done by a modified Gil-Verent method. The latest available patients' DRNCs were used to judge for reflux relapse. Results: Ninety-one patients, 142 refluxing units; median (range) age, 10.5 (1-45) years; M/F, (11/80) were followed for 18 to 135 months. Reflux resolution rate was 73.6% for patients and 75.4% for refluxing units. Relapse was associated with reflux grade (67% in grade V), ureteral orifice appearance (40% in golf hole/stadium), and patients with a history of pyelonephritis. Multivariable model based on the above variables had less than 10% sensitivity in predicting relapse. Conclusions: Trigonoplasty success rate can decrease with long-term follow-up.