Efficacy and safety of Hyadex for treatment of vesicoureteral reflux: a multicenter experience

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Atıf İçin Kopyala

OĞUZ F., YILDIZ T., Gecit I., Gungor H., Ciftci H., AKSOY Y., ...Daha Fazla

Journal of International Medical Research, cilt.51, sa.8, 2023 (SCI-Expanded)

• Yayın Türü: Makale / Tam Makale
• Cilt numarası: 51 Sayı: 8
• Basım Tarihi: 2023
• Doi Numarası: 10.1177/03000605231195165
• Dergi Adı: Journal of International Medical Research
• Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, PASCAL, BIOSIS, CAB Abstracts, Food Science & Technology Abstracts, Veterinary Science Database, Directory of Open Access Journals
• Anahtar Kelimeler: cross-linked hyaluronic acid, dextranomer, Hyadex, subureteric injection, Vesicoureteral reflux, voiding cystourethrography
• Atatürk Üniversitesi Adresli: Evet

Özet

Objective: This study was performed to evaluate the efficacy and safety of dextranomer/cross-linked hyaluronic acid (Hyadex) in patients with a clinical diagnosis of vesicoureteral reflux (VUR). Methods: In this cross-sectional multicenter observational study, Hyadex was used in four different centers for the endoscopic treatment of VUR from 2020 to 2022. The study involved 74 patients (93 renal units) who were diagnosed with VUR according to voiding cystourethrography (VCUG) findings and were considered suitable for subureteric endoscopic treatment. The follow-up time (control VCUG time) was 3 months. Results: In the VCUG evaluation, grade I VUR was found in 13 renal units, grade II in 23 renal units, grade III in 42 renal units, and grade IV in 12 renal units. The success rates of Hyadex treatment according to the degree of VUR were as follows: 84.6% for grade I, 82.6% for grade II, 71.4% for grade III, and 66.0% for grade IV. No major complications were observed. Conclusion: Endoscopic subureteric Hyadex injection had high success rates in appropriately selected patients with VUR and may be used as the first-line treatment for children with VUR.