Advances in Urology 
Volume 2008 (2008), Article ID 579370, 5 pages
doi:10.1155/2008/579370
Review Article

A Review of the Effect of Injected Dextranomer/Hyaluronic Acid Copolymer Volume on Reflux Correction Following Endoscopic Injection

Sumit Dave1 and Darius J. Bägli2

 1Division of Urology, Children's Hospital, University of Western Ontario, London, ON, N6A5W9, Canada
2Division of Urology, The Hospital for Sick Children, University of Toronto, 555 University Avenue, Toronto, ON, M5G 1X8, Canada
Received 3 April 2008; Revised 16 June 2008; Accepted 20 August 2008

Recommended by Hiep Nguyen

Abstract

The current literature suggests that multiple variables affect vesicoureteric reflux (VUR) resolution rates following dextranomer/hyaluronic acid copolymer (Dx/HA) injection. This article reviews the evidence pertaining to the effect of injected Dx/HA volume on success rates following endoscopic correction. Lack of prospective studies which use injected volume as a continuous variable coupled with a nonstandardized injection technique and endpoint hinders the ability to reach a definite conclusion.