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Updated: Sep 27, 2026

Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
[Contraindications for the endoscopic treatment of vesicoureteral reflux]
1Servicio de Cirugía Pediátrica, Unidad de Urología Infantil, Hospital Materno-Infantil Teresa Herrera Complejo Hospitalario Juan Canalejo, La Coruña.
Abstract:
The endoscopic treatment of vesicoureteral reflux (VUR) has acquired a great importance as a therapeutic option during the last years. We present our experience with two substances, teflon paste and macroplastic, used in 86 patients, with 147 refluxing renal units. After first injection, the successful rate was 86% for teflon pastes versus 91% for macroplastic in the middle grade VUR units. We analyze our complications rates (14.25%) and we conclude that there is a close relation with a right technic performance. In our experience we consider a major contraindication for this technical option patients less than 1 year of life. At the same time we presume that an special care must be taken in monorenal patients as well.
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