[Endoscopic treatment of vesicoureteral reflux]

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Treatment of Ejaculatory Duct Obstruction by Seminal Vesiculoscopy Assisted Flow Modification
03:51

Treatment of Ejaculatory Duct Obstruction by Seminal Vesiculoscopy Assisted Flow Modification

Published on: December 8, 2023

J López López1, J Sánchez Zalabardo, M Sánchez Elipe

  • 1Servicios de UrologíaServicios de UrologíaServicios de Urología. m.uroh@hcu.blesa.es

Anales Espanoles De Pediatria
|February 22, 2001
PubMed

Insights

Endoscopic treatment of vesicoureteric reflux in children using submucosal injection of polytetrafluoroethylene (Teflon) paste is highly effective. This minimally invasive technique offers a high success rate with reduced morbidity and shorter hospital stays compared to open surgery.

Area of Science:

  • Pediatric Urology
  • Minimally Invasive Surgery

Background:

  • Vesicoureteric reflux (VUR) is a common condition in children.
  • Traditional open surgery for VUR can be invasive with longer recovery times.

Purpose of the Study:

  • To evaluate the efficacy and safety of endoscopic treatment for VUR in children.
  • To assess the success rate of submucosal polytetrafluoroethylene (Teflon) injection for VUR.

Main Methods:

  • A cohort of 22 children (30 VUR cases) aged 19 months to 8 years underwent subureteric Teflon paste injection.
  • Procedures were performed under general anesthesia using a pediatric cystoscope.
  • Postoperative follow-up included ultrasound and radionuclide cystography at 15 days, 6 months, and 1 year.

Main Results:

  • The overall success rate for endoscopic treatment was 96.5%.
  • 93.1% of patients required only one injection for successful treatment.
  • No patients were hospitalized due to complications; one patient required open surgery after two failed injections.

Conclusions:

  • Submucosal Teflon injection is a safe and effective first-line treatment for pediatric VUR.
  • Endoscopic treatment demonstrates comparable success rates to open surgery with lower morbidity and reduced healthcare costs.
  • Shorter hospital stays are a significant advantage of the endoscopic approach.
Abstract

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