Maneesh Kumar Joleya
Department of Pediatric Surgery, MGM Medical College, Indore, IndiaPublications
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Research Article
Is Configuration of the Orifice A Better Predictor of Success in Endoscopic Management of Vesicoureteric Reflux?: A Pilot Study
Author(s): Vinod Raj*, Ram Mohan Shukla, Maneesh Kumar Joleya, Pooja Tiwari, Shashi Shankar Sharma, Ashok K Laddha, Manoj Joshi and Brijesh K Lahoti
Introduction: Management of Vesico Ureteral Reflux (VUR) has always been dictated by grade of reflux, higher the grade of reflux, lesser the inclination towards Endoscopic Management Vesico Ureteral Reflux (EMVUR). Results published from world-wide have shown that large number of high-grade refluxes are amenable to EMVUR while results with all lower grades of reflux is not uniformly successful. So, there are more factors at play than just grade of reflux which contributes to successful EMVUR. With this in mind, we formulated two hypotheses. 1. The radiological grade of VUR does not always correlate to the cystoscopic configuration of the orifice. 2. The configuration of the orifice is a better predictor of success than grade of reflux in EMVUR. This is a pilot study to confirm our hypotheses. Materials and methods: A retrospective o.. Read More»