1.Endoscopic treatment of vesicoureteric reflux with dextranomer/hyaluronic acid copolymer (Deflux): The National Kidney and Transplant Institute experience.
Dator Jose Dante P. ; Tandoc Neil Alvin ; Torres Carlos Ramon N.
Philippine Journal of Urology 2011;21(2):35-38
OBJECTIVE: Endoscopic correction of vesicoureteral reflux has evolved as a viable alternative to open surgery. This study was conducted to review the experience of a single institution with the endoscopic Deflux procedure and assess its effectiveness in the treatment of vesicoureteral reflux.
MATERIALS AND METHODS: A retrospective review of patients who underwent endoscopic Deflux treatment for primary vesicoureteral reflux (VUR) between January 2005 and December 2010 was performed. Data collected included: age, gender, unilateral or bilateral treatment, pre-operative grade of VUR on voiding cystourethrogram (VCUG), and the number of Deflux injections per patient.
RESULTS: Sixteen patients [7 (43.75%) males and 9 (56.25%) females] were included in this study. The ages ranged from 6 months to 8 years old with a mean age of 3.15 years. Four (25%) patients had bilateral VUR while 12 (75%) had unilateral VUR, with a total of 21 refluxing ureters. Three had Grade II reflux (14.3%), 13 had Grade III reflux (62%), 5 had Grade IV reflux (24%), and 1 had Grade V reflux (4.7%). Nineteen ureters required one injection while one ureter required two injections. There were no intraoperative nor postoperative complications noted.
CONCLUSION: At the National Kidney and Transplant Institute, endoscopic treatment of VUR with Deflux for primary VUR demonstrated a cure rate of 90%, with no associated perioperative morbidity.
Human ; Male ; Female ; Child ; Child Preschool ; Infant ; deflux ; Endoscopy ; Vesico-Ureteral Reflux-treatment, therapy, management, drug therapy ; Urinary Bladder Diseases ; dextranomer ; dextranomer-hyaluronic acid copolymer
2.Renal cell carcinoma in a solitary functioning kidney in a pediatric patient with diabetes mellitus type 1 early transplantation-A first in the Philippines.
Dante DATOR ; Carlos Ramon TORRES ; Darwin Henry GALUBA
Philippine Journal of Urology 2010;20(1):22-26
A 17 year old female with diabetes mellitus type 1, with chronic kidney disease. Moreover, hypoplastic left kidney and a renal mass on the functional kidney. The possibility all these medical problems occurring at the same time is close to impossible. The management is likewise very difficult and challenging. Partial nephrectomy as initial choice to treatment but initial ureteroscopic findings and change to radical nephrectomy was prudent. In lieu of chronic dialysis, the decision of early transplantation was done. We present the management choices we had to make in a very difficult case.
Diabetes Mellitus Type1 ; Hypoplastic Kidney ; Solitary Kidney ; Renal Cell Cancer
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