Skip to main content
Log in

Analysis and technical refinements of endoscopic treatment of vesico-ureteral reflux in children with a 40-month follow up

  • Main Topic
  • Published:
Pediatric Surgery International Aims and scope Submit manuscript

Abstract

We report our experience with the endoscopic treatment of vesicoureteral reflux by submucosal injection of Teflon in children. During a period of 40 months, 450 children and a total of 678 ureters were treated; 606 ureters were available with a follow-up of more than 3 months and examined by cystography. The overall success rate was 84.2% after one injection and 94.3% after two injections; 96.2% of the primary refluxes disappeared after two injections. We believe that in duplicated ureters and grade IV and V refluxes only one injection should be tried. If this fails we undertake surgical reimplantation. The success rate in neurogenic bladders and failures of previous surgical reimplantations allows surgery to be avoid in these difficult cases. We found seven non-pathological Teflon granuloma calcifications that had no influence on the results.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Aubert D, Zoupanos G, Destuynder O, Hurez F (1990) “Sting” procedure in the treatment of secondary reflux in children. Eur Urol 17: 307–309

    Google Scholar 

  2. Geiss S, Alessandrini P, Allouch G, Bayard M, Bondonny JM, Canarelli JP, Chavrier Y, Delmas P, Dodat H, Fremont B, Jehannin B, Lacombe A, Melin Y, Montupet P, Sauvage P, Schulman C, Valayer J, Valla JS, Viville C (1990) Multicenter survey of endoscopic treatment of vesicoureteral reflux in children. Eur Urol 17: 328–329

    Google Scholar 

  3. Malizia A, Reimann HM, Myers RP, Sande JR, Barham SS, Utz WJ (1984) Migration and granulomatous reaction after periurethral injection of polytetrafluoroethylene. JAMA 251: 3277–3281

    Google Scholar 

  4. Marcellin L, Geiss S, Laustriat S, Becmeur F, Bientz J, Sauvage P (1990) Ureteral lesions due to endoscopic treatment of vesicoureteral reflux by injection of Teflon: pathological study. Eur Urol 17: 325–327

    Google Scholar 

  5. Matouschek E (1981) Die Behandlung des vesikoureteralen Refluxes durch Transurethral Einspritzung von Teflon-Paste. Urologe A 2: 263–264

    Google Scholar 

  6. O'Donnell B, Puri P (1984) Treatment of vesicoureteric reflux by endoscopic injection of Teflon. Br Med J Clin Res 289: 7–9

    Google Scholar 

  7. Puri P, Guiney EJ (1986) Endoscopic correction of vesico-ureteric reflux secondary to neuropathic bladder. Br J Urol 58: 504–506

    Google Scholar 

  8. Puri P, O'Donnell B (1984) Correction of experimentally produced vesicoureteric reflux in the piglet by intravesical injection of Teflon. Br Med J 289: 5–7

    Google Scholar 

  9. Puri P, O'Donnell B (1987) Endoscopic correction of grades IV & V primary vesicoureteric reflux: six to thirty months follow up in 42 ureters. J Pediatr Surg 22: 1087–1091

    Google Scholar 

  10. Roy E, Christmann D, Bourbia M, Geiss S, Sauvage P, Walter JP (1990) Reflux vésico-urétéral de l'enfant traité par injection de Téflon: aspects radiologiques. J Med Strasbourg 21: 251–254

    Google Scholar 

  11. Sauvage P, Geiss S, Saussine C, Laustriat S, Becmeur F, Bientz J, Christmann D, Roy E, Marcellin L (1990) Analysis and perspectives of endoscopic treatment of vesicoureteral reflux in children with a twenty month follow up. Eur Urol 17: 310–313

    Google Scholar 

  12. Sauvage P, Geiss S, Saussine C, Laustriat S, Becmeur F, Christmann D, Roy E, Marcellin L (1989) Endoscopic treatment of vesicoureteral reflux in children. Berichte aus der Urologie. Werner Steinbruck, Baden Baden

    Google Scholar 

  13. Schulman CC, Pamart D, Hall M, Janssen F, Avni F (1990) Vesicoureteral reflux in children: endoscopic treatment. Eur Urol 17: 314–317

    Google Scholar 

  14. Valla JS, Aubert D, Dodat H, Chavrier Y, Limonne B, Galifer RB, Montupet P, Pamart D, Schulman CC (1989) Traitement endoscopique du reflux vésico-urétéral par injection de pâte de Téflon chez l'enfant. A propos de 337 patients (491 uretéres). Chir Pédiatr 30: 37–42

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Offprint requests to: P. Sauvage

Rights and permissions

Reprints and permissions

About this article

Cite this article

Sauvage, P., Geiss, S., Dhaoui, R. et al. Analysis and technical refinements of endoscopic treatment of vesico-ureteral reflux in children with a 40-month follow up. Pediatr Surg Int 6, 277–280 (1991). https://doi.org/10.1007/BF00178637

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00178637

Key words

Navigation