• Dr. Gul Nawaz,

• Gul Nawaz,

• Muhammad Imran Jamil,

• Shujah Muhammad,

• Asadur Rehman,

• Durre Shohab,

• Iftikhar Ali Khan,

• Ijaz Hussain

• , Waqas Iqbal,

• SaeedAkhter

تلخیص

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 refluxon 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 (181ureters) underwent endoscopic treatment for primary VUR between January2011and January 2014.Children from 1 to 12 years of age with grade-II to IV reflux on preoperative voiding cystourethrogram (VCUG) were enrolledthrough 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 andmay be considered in management of such cases

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