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