Uso de copolímero poliacrilato polialcohol para el tratamiento del reflujo vesicoureteral en el Hospital Roberto Gilbert Elizalde en los años 2015 - 2016.

Abstract

Vesicoureteral reflux is defined as the retrograde reflux of urine to the ureters or to the kidney, with varying degrees of severity. This anomaly has been associated with recurrent urinary tract infections, and without treatment with renal scarring that could cause irreversible renal damage. There are some therapeutic options available such as open surgery, laparoscopic surgery and endoscopic injection of diverse substances. The gold standard treatment of vesicoureteral reflux isopen surgery. The present study intends to demonstrate that the endoscopic injection of polyacrylate polyalcohol copolymer for the treatment of vesicoureteral reflux in all its degrees is effective with high success rates comparable to published studies where this substance is used. MATERIALS AND METHODS The study included 29 male and female patients seenin the outpatient Urology consult clinic of Hospital Roberto Gilbert with diagnosis of primary vesicoureteral reflux and that met inclusion and exclusion criteria for the study. A voiding cystourethrogram pre and post treatment with copolymer was observed. RESULTS Out of the 29 patients that were treated with endoscopic treatment with copolymer, 18 (62.07%) had a post treatment voidingcystourethrogram without reflux, and 11 (37.93%) had reduction of the reflux grade, a finding that is statistically significant with p value 0.0001. CONCLUSIONS Treatment with polyacrylate polyalcohol copolymer is effective in eliminating or reducing vesicoureteral reflux afterone only injection.