Abstract
Transurethral injection of Teflon paste (TUI) was carried out in 24 ureters of 16 patients with vesicoureteral reflux (VUR) secondary to neurogenic bladder dysfunction at an age ranging from 4 to 77 years, and the results were compared with those of conventional open surgery. During the mean follow-up period of 20.1 months, reflux disappeared in 19 ureters (79%), so that the success rate of endoscopic operation was considered to be satisfactory as compared with that of conventional open surgery, in which reflux disappeared in 16 (80%) of 20 ureters in 16 patients with neurogenic bladder dysfunction at our department. No exacerbation of hydronephrosis was observed postoperatively, and no complication was noted. This procedure, which is minimally invasive and technically simple, may be regarded as the first choice for VUR secondary to neurogenic bladder dysfunction.
Similar content being viewed by others
References
Woodard, J. R., Anderson, A. M., III, Parrott, T. S.: Ureteral reimplantation in myelodysplasia of children.J. Urol., 126, 387 (1981).
Goerdin, A., Wyndaele, J. J., DeSy, W. A.: Ureteroneocystostomy in the neuropathic bladder associated with highgrade reflux.Eur. Urol., 20, 29 (1991).
Kohri, K., Imanishi, M., Kunikata, S., Akiyama, T., Kurita, T.: Investigation of unsuccessful endoscopic operation for case with vesicoureteral reflux.Jpn. J. Urol., 83, 1964 (1992).
Brereton, R. J., Narayanan, R., Ratnatunga, C.: Ureteric re-implantation in neuropathic bladder.Br. J. Surg., 74, 646 (1990).
Ohnishi, N., Uchida, Y., Kiwamoto, H., Esa, A., Sugiyama, T., Park, Y. C., Akiyama, T., Kurita, T.: Management of vesicoureteral reflux in patients with neurogenic bladder dysfunction.Jpn. J. Urol., 82, 473 (1991).
O'Donnell, B., Puri, P.: Endoscopic correction of primary vesicoureteric reflux.Br. J. Urol., 58, 601 (1986).
Quinn, F. M. J., Diamond, T., Boston, V. E.: Endoscopic management of vesico-ureteric reflux in children with neuropathic bladder secondary to myelomeningocele.Z. Kinderchir., 43, 43 (1988).
Kaminetsky, J. C., Hanna, M. K.: Endoscopic treatment of vesicoureteral reflux in children with neurogenic bladders.Urology, 37, 244 (1991).
O'Donnell, B., Puri, P.: Treatment of vesicoureteric reflux by endoscopic injection of teflon.Br. Med. J., 289, 7 (1984).
Kaplan, W. E., Dalton, D. P., Firlit, C. F.: The endoscopic correction of reflux by polytetrafluoroethylene injection.J. Urol., 138, 953 (1987).
Brown, S.: Open versus endoscopic surgery in the treatment of vesicoureteral reflux.J. Urol., 142, 499 (1989).
Mittleman, R. E., Marraccini, J. V.: Pulmonary teflon granulomas following periurethral teflon injection for urinary incontinence.Arch. Pathol. Lab. Med., 107, 611 (1983).
Malizia, A. A., Reiman, H. M., Myers, R. P., Sande, J. R., Braham, S. S., Benson, R. C., Dewanjee, M. K., Ultz, W. J.: Migration and granulomatous reaction after periurethral injection of polytef (Teflon).J.A.M.A., 251, 3277 (1984).
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Sugiyama, T., Hashimoto, K., Kiwamoto, H. et al. Endoscopic correction of vesicoureteral reflux in patients with neurogenic bladder dysfunction. International Urology and Nephrology 27, 527–531 (1995). https://doi.org/10.1007/BF02564736
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02564736