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Non-Animal Stabilized Hyaluronic Acid/Dextranomer Gel (NASHA/Dx, Deflux) for Endoscopic Treatment of Vesicoureteral Reflux: What Have We Learned Over the Last 20 Years?
Kirsch AJ, Cooper CS, Läckgren G. Kirsch AJ, et al. Urology. 2021 Nov;157:15-28. doi: 10.1016/j.urology.2021.07.032. Epub 2021 Aug 16. Urology. 2021. PMID: 34411597 Free article. Review.
To mark 20 years since the US approval of this agent, we reviewed its properties, best practice for application, and the available clinical safety and efficacy data. Long-term or randomized, controlled studies of treatment with NASHA/Dx have reported VUR resolution rates o …
To mark 20 years since the US approval of this agent, we reviewed its properties, best practice for application, and the available clinical …
Management of Vesicoureteral Reflux: What Have We Learned Over the Last 20 Years?
Läckgren G, Cooper CS, Neveus T, Kirsch AJ. Läckgren G, et al. Among authors: kirsch aj. Front Pediatr. 2021 Mar 31;9:650326. doi: 10.3389/fped.2021.650326. eCollection 2021. Front Pediatr. 2021. PMID: 33869117 Free PMC article. Review.
Antibiotic prophylaxis can reduce the incidence of UTIs, but drawbacks such as antibiotic resistance and incomplete adherence mean that this option is not viable for long-term use. Long-term studies of endoscopic injection have helped us understand factors influenci …
Antibiotic prophylaxis can reduce the incidence of UTIs, but drawbacks such as antibiotic resistance and incomplete adherence mean that this …
Long-Term Clinical Outcomes and Parental Satisfaction After Dextranomer/Hyaluronic Acid (Dx/HA) Injection for Primary Vesicoureteral Reflux.
Lightfoot M, Bilgutay AN, Tollin N, Eisenberg S, Weiser J, Bryan L, Smith E, Elmore J, Scherz H, Kirsch AJ. Lightfoot M, et al. Among authors: kirsch aj. Front Pediatr. 2019 Sep 27;7:392. doi: 10.3389/fped.2019.00392. eCollection 2019. Front Pediatr. 2019. PMID: 31612121 Free PMC article.
Purpose: Endoscopic dextranomer/hyaluronic acid (Dx/HA) injection is a common treatment for vesicoureteral reflux (VUR) with excellent reported short-term clinical success rates. Long-term outcomes are less well-defined. ...Conclusions: Endoscopic injection with Dx/ …
Purpose: Endoscopic dextranomer/hyaluronic acid (Dx/HA) injection is a common treatment for vesicoureteral reflux (VUR) with excellent repor …
Spiral nesbit plication: A simple method for simultaneous correction of penile torsion and chordee ("spiral chordee").
Lightfoot MA, Kirsch AJ. Lightfoot MA, et al. Among authors: kirsch aj. J Pediatr Urol. 2018 Oct;14(5):468-470. doi: 10.1016/j.jpurol.2018.05.018. Epub 2018 Jun 11. J Pediatr Urol. 2018. PMID: 29936033
Herein we describe a technique of placing oblique plication sutures to simultaneously correct both conditions, which we term "spiral chordee". The spiral Nesbit plication (SNP) has been performed on 21 boys at our institution. ...
Herein we describe a technique of placing oblique plication sutures to simultaneously correct both conditions, which we term "spiral …
Urinary tract infection in the setting of vesicoureteral reflux.
Garcia-Roig ML, Kirsch AJ. Garcia-Roig ML, et al. Among authors: kirsch aj. F1000Res. 2016 Jun 30;5:F1000 Faculty Rev-1552. doi: 10.12688/f1000research.8390.1. eCollection 2016. F1000Res. 2016. PMID: 27408706 Free PMC article. Review.
Vesicoureteral reflux (VUR) is the most common underlying etiology responsible for febrile urinary tract infections (UTIs) or pyelonephritis in children. Along with the morbidity of pyelonephritis, long-term sequelae of recurrent renal infections include renal scarring, pr …
Vesicoureteral reflux (VUR) is the most common underlying etiology responsible for febrile urinary tract infections (UTIs) or pyelonephritis …
Is routine voiding cystourethrogram necessary following double hit for primary vesicoureteral reflux?
Arlen AM, Scherz HC, Filimon E, Leong T, Kirsch AJ. Arlen AM, et al. Among authors: kirsch aj. J Pediatr Urol. 2015 Feb;11(1):40.e1-5. doi: 10.1016/j.jpurol.2014.11.011. Epub 2015 Jan 30. J Pediatr Urol. 2015. PMID: 25725613
This cohort of 38 patients had a 50% radiographic cure rate and a 78.9% clinical cure rate, compared to the overall long-term clinical success rate of 93.7%. Our data demonstrates that we can predict failures with relatively high sensitivity, and it may therefore be pruden …
This cohort of 38 patients had a 50% radiographic cure rate and a 78.9% clinical cure rate, compared to the overall long-term clinica …
Intermediate to long-term follow-up indicates low risk of recurrence after Double HIT endoscopic treatment for primary vesico-ureteral reflux.
Kalisvaart JF, Scherz HC, Cuda S, Kaye JD, Kirsch AJ. Kalisvaart JF, et al. Among authors: kirsch aj. J Pediatr Urol. 2012 Aug;8(4):359-65. doi: 10.1016/j.jpurol.2011.07.006. Epub 2011 Aug 4. J Pediatr Urol. 2012. PMID: 21820358
CONCLUSIONS: The Double HIT leads to a 93% clinical and 93% radiographic intermediate/long-term success rate. With this technique, better outcomes were achieved with fewer recurrences than previously reported. ...
CONCLUSIONS: The Double HIT leads to a 93% clinical and 93% radiographic intermediate/long-term success rate. With this technique, be …
23 results