EFFICACY OF ENDOSCOPIC TREATMENT FOR PRIMARY VESICOURETERIC REFLUX IN CHILDREN

Background: vesicoureteral reflux (vur) is a common anomaly affecting 1-3% of all children and 30-50% of those with urinary tract infection (uti). in the past febrile vesicoureteric reflux on chronic antibiotic prophylaxis were treated by open surgery. now a day's endoscopic injection of a bulking material has replaced open surgical procedure in cases of primary vur. our objective was to assess the efficacy of endoscopic treatment for primary vesico-ureteric reflux in children.methods: this was a descriptive case series. one hundred and five patients with either unilateral or bilateral vur (181 ureters) underwent endoscopic treatment for primary vur between january 2011 and january 2014. children from 1 to 12 years of age with grade-ii to iv reflux on preoperative voiding cystourethrogram (vcug) were enrolled through consecutive non-probability sampling. efficacy of treatment was evaluated at three months post injection by a standard vcug. ureters with no or grade-i reflux were considered successful treatment.results: out of 105 patients 76 had bilateral while 29 had unilateral reflux. mean age was 5.7 years (sd ± .7). among 181 refluxing ureters,116 (64%) were free of reflux,while 49 (27%) showed down gradation and 16 (8.8%) showed no response to treatment on postoperative vcug.conclusion: endoscopic treatment for vur is a viable option for patients with primary vur and may be considered in management of such cases.