Current Status of Gil-Vernet Trigonoplasty Technique
Significant controversy exists regarding vesicoureteral reflux (VUR) management, due to lack of sufficient prospective studies. The rationale for surgical management is that VUR can cause recurrent episodes of pyelonephritis and long-term renal damage. Several surgical techniques have been introduce...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Wiley
2008-01-01
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| Series: | Advances in Urology |
| Online Access: | http://dx.doi.org/10.1155/2008/536428 |
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| _version_ | 1832552618197516288 |
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| author | Nasser Simforoosh Mohammad H. Radfar |
| author_facet | Nasser Simforoosh Mohammad H. Radfar |
| author_sort | Nasser Simforoosh |
| collection | DOAJ |
| description | Significant controversy exists regarding vesicoureteral reflux (VUR) management, due to lack of sufficient prospective studies. The rationale for surgical management is that VUR can cause recurrent episodes of pyelonephritis and long-term renal damage. Several surgical techniques have been introduced during the past decades. Open anti-reflux operations have high success rate, exceeding 95%, and long durability. The goal of this article is to review the Gil-Vernet trigonoplasty technique, which is a simple and highly successful technique but has not gained the attention it deserves. The mainstay of this technique is approximation of medial aspects of ureteral orifices to midline by one mattress suture. A unique advantage of Gil-Vernet trigonoplasty is its bilateral nature, which results in prevention from contralateral new reflux. Regarding not altering the normal course of the ureter in Gil-Vernet procedure, later catheterization of and retrograde access to the ureter can be performed normally. There is no report of ureterovesical junction obstruction following Gil-Vernet procedure. Gil-Vernet trigonoplasty can be performed without inserting a bladder catheter and drain on an outpatient setting. Several exclusive advantages of Gil-Vernet trigonoplasty make it necessary to reconsider the technique role in VUR management. |
| format | Article |
| id | doaj-art-13eddefc08914c7eb39f861cf95d47f6 |
| institution | Kabale University |
| issn | 1687-6369 1687-6377 |
| language | English |
| publishDate | 2008-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Urology |
| spelling | doaj-art-13eddefc08914c7eb39f861cf95d47f62025-02-03T05:58:14ZengWileyAdvances in Urology1687-63691687-63772008-01-01200810.1155/2008/536428536428Current Status of Gil-Vernet Trigonoplasty TechniqueNasser Simforoosh0Mohammad H. Radfar1Urology & Nephrology Research Center, Shahid Labbafinejad Hospital, Shahid Beheshti University (M.C), Tehran 1666679951, IranUrology & Nephrology Research Center, Shahid Labbafinejad Hospital, Shahid Beheshti University (M.C), Tehran 1666679951, IranSignificant controversy exists regarding vesicoureteral reflux (VUR) management, due to lack of sufficient prospective studies. The rationale for surgical management is that VUR can cause recurrent episodes of pyelonephritis and long-term renal damage. Several surgical techniques have been introduced during the past decades. Open anti-reflux operations have high success rate, exceeding 95%, and long durability. The goal of this article is to review the Gil-Vernet trigonoplasty technique, which is a simple and highly successful technique but has not gained the attention it deserves. The mainstay of this technique is approximation of medial aspects of ureteral orifices to midline by one mattress suture. A unique advantage of Gil-Vernet trigonoplasty is its bilateral nature, which results in prevention from contralateral new reflux. Regarding not altering the normal course of the ureter in Gil-Vernet procedure, later catheterization of and retrograde access to the ureter can be performed normally. There is no report of ureterovesical junction obstruction following Gil-Vernet procedure. Gil-Vernet trigonoplasty can be performed without inserting a bladder catheter and drain on an outpatient setting. Several exclusive advantages of Gil-Vernet trigonoplasty make it necessary to reconsider the technique role in VUR management.http://dx.doi.org/10.1155/2008/536428 |
| spellingShingle | Nasser Simforoosh Mohammad H. Radfar Current Status of Gil-Vernet Trigonoplasty Technique Advances in Urology |
| title | Current Status of Gil-Vernet Trigonoplasty Technique |
| title_full | Current Status of Gil-Vernet Trigonoplasty Technique |
| title_fullStr | Current Status of Gil-Vernet Trigonoplasty Technique |
| title_full_unstemmed | Current Status of Gil-Vernet Trigonoplasty Technique |
| title_short | Current Status of Gil-Vernet Trigonoplasty Technique |
| title_sort | current status of gil vernet trigonoplasty technique |
| url | http://dx.doi.org/10.1155/2008/536428 |
| work_keys_str_mv | AT nassersimforoosh currentstatusofgilvernettrigonoplastytechnique AT mohammadhradfar currentstatusofgilvernettrigonoplastytechnique |