Original Article Endoscopic treatment of vesico-ureteral reflux: Experience of 99 ureteric moieties Minu Bajpai, Ajay Verma, Shasanka S. Panda Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India Address for correspondence: Dr. Minu Bajpai, Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi - 110 029, India. E-mail: [email protected]

ABSTRACT Aims: To study the outcome of endoscopic hyaluronic acid/dextranomer injection in patients with vesico-ureteric reflux (VUR). Materials and Methods: Sixty-three children were evaluated with a median follow up of 18 months (12-55 months) before injecting hyaluronic acid/dextranomer in a total of 99 ureteric moieties. Median age at presentation was 24 months (6-72 months). Primary VUR was the main presenting diagnosis in 60%. Patients were monitored for urinary tract infection (UTI), glomerular filtration rate (GFR), renal scarring, persistence, or appearance of contra-lateral reflux. Results: Grade III VUR was the most common (38%) followed by Grade IV (24%), Grade V (17%), Grade II (14%), and Grade I (7%). Most common cause for VUR was Primary (60%), followed by posterior urethral valve (PUV) (19%), bladder exstrophy (5%), anorectal malformation (ARM), epispadias, and duplex system. Analysis of patients characteristics at presentation revealed renal scarring (40%), split renal functions