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Long-term follow-up of tissue reactions caused by Teflon paste and cross-linked collagen in rats

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Abstract

A 6-month follow-up study was carried out to compare local tissue reactions of polytetrafluoroethylene (Teflon paste) and cross-linked collagen (Zyplast), two injectable antireflux agents. Injections were made intradermally, intramuscularly, and into the bladder wall. Cross-linked collagen showed no foreign-body reaction. It maintained its original location and became well integrated with the surrounding tissue, forming an extra pad that was seen throughout the whole observation period. In contrast, Teflon caused a strong foreign-body reaction: single pearls of the agent became encapsulated within granulomatous tissue. However, a few pearls were seen still free with minimal surroundings several weeks after the injection. We conclude that both injectable agents cause a long-lasting reaction in rats that is strong enough to act as an extra support at the site of injection.

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References

  1. Brown S (1989) Open versus endoscopic surgery in the treatment of vesicoureteral reflux. J Urol 142: 499–501

    Google Scholar 

  2. Canning DA, Gearhart JP (1989) Limitations and alternatives to endoscopic correction of vesicoureteral reflux with Polytef paste. Ped Surg Int 4: 149–153

    Google Scholar 

  3. Eichenberg H-U, Ringert R (1989) Collagen injection for vesicoureteral reflux. Amer Urol Sos meeting, Abstr. No 769

  4. Gelet A, Martin X, Salas M, Dubernard JM (1988) Endoscopic treatment of vesico-ureteral reflux. Am Urol Sos meeting, Abstr. No 90

  5. Gonzales ET, Ross MD, David RR (1989) Vesicoureteral reflux in boys. Ped Surg Int 4: 154–155

    Google Scholar 

  6. Kaplan W, Dalton D, Firlit C (1987) The endoscopic correction of reflux by polytetrafluoroethylene injection. J Urol (2) 138: 953–955

    Google Scholar 

  7. Kaplan WE, Dalton DP (1987) Endoscopic subureteric Teflon injection for the treatment of vesicoureteral reflux. Amer Urol Sos meeting, Abstr. No 73

  8. Malizia AA, Reiman HM, Ryers RP et al (1984) Migration and granulomatous reaction after periureteral injection of Polytef (Teflon). J Am Med Assoc 251: 3277–3281

    Google Scholar 

  9. Malizia AA, Rushton HM, Woodard JR, Newton NE, Reiman HM, Lopez OP (1987) Migration and granulomatous reaction after intravesical/subureteric injection of Polytef. Am Urol Sos meeting, Abstr. No 74

  10. Malizia AAJr, Woodard JR, Rushton HG, Wyly JB, Ball TI, Newton NC (1988) Intravesical/subureteric injection of Polytef: serial radiologic imaging. Am Urol Sos meeting, Abstr. No 92

  11. Matouschek E (1981) Treatment of vesicoureteral reflux by trans-urethral Teflon injection. Urologe 20: 263–264

    Google Scholar 

  12. Mc Pherson J, Sawamura S, Conti A (1986) Preparation of (3H) collagen for studies of the biologic fat of xenogenic collagen implant in vivo. J Invest Derm 86: 673–677

    Google Scholar 

  13. Mittleman R, Marracini J (1983) Pulmonary Teflon granulomas following periurethral Teflon injection for urinary incontinence. Arch Pathol Lab Med 107: 611–612

    Google Scholar 

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

    Google Scholar 

  15. O'Donnell B, Puri P (1986) Endoscopic correction of primary vesicoureteric reflux: result of 94 ureters. Br Med J 293: 1404–1406

    Google Scholar 

  16. O'Donnell B, Puri P (1986) Endoscopic correction of primary vesicoureteric reflux. Br J Urol 58: 601–604

    Google Scholar 

  17. Peters CA, Jeffs RD (1987) Endoscopic correction of vesicoureteral reflux with bovine collagen injection submucosally at the ureteral orifice. Am Urol Sos meeting. Abstr. No 76

  18. Politano VA, Molina L, Lynne CM (1988) Endoscopic correction of vesicoureteral reflux with Polytef paste. Am Urol Society Meeting, Abstr. No 91

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

    Google Scholar 

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

    Google Scholar 

  21. Puri P, O'Donnell B (1987) Endoscopic correction of Gr IV and V primary vesicoureteric reflux: six to 30 months follow-up in 42 ureters. J Ped Surg 22: 1087–1091

    Google Scholar 

  22. Quinn FMJ, Diamond T, Boston VE (1988) Endoscopic management of vesico-ureteric reflux in children with neuropathic bladder secondary to MMC. Z Kinderchir 43, Suppl II: 43–45

    Google Scholar 

  23. Schulman C, Simon J, Pamart D, Abni F (1987) Endoscopic treatment of vesicoureteral reflux in children. J Urol 138: 950–951

    Google Scholar 

  24. Spencer JR, Donaldson JS, Zaontz MR, Kaplan WE (1988) The sting: postoperative evaluation for granuloma development in the pediatric patient. Amer Urol Sos meeting, Abstr. No 93

  25. Suatengco O, Oshima K, Newmark J, Fitzpatrick J, Bloom DA (1987) Correction of vesicoureteral reflux in dogs with intravesical collagen. Am Urol Sos meeting, Abstr. No 75

  26. Thomas DFM (1989) Vesico-ureteric reflux: new perspectives. Editorial comments. Ped Surg Int 4: 147–148

    Google Scholar 

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Reunanen, M.S., Toikkanen, S. & Viljanto, J. Long-term follow-up of tissue reactions caused by Teflon paste and cross-linked collagen in rats. Pediatr Surg Int 6, 241–244 (1991). https://doi.org/10.1007/BF00178629

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