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[Endoscopic treatment of vesicoureteral reflux]

Boris Chertin1, Alon Fridmans, Dmitry Koulikov

  • 1Department of Urology, Shaare Zedek Medical Center, Jerusalem, Israel. bchertin@yahoo.com

Harefuah
|November 4, 2004
PubMed

Insights

Endoscopic subureteral injection offers an effective outpatient treatment for pediatric vesicoureteral reflux (VUR). Polytetrafluoroethylene remains reliable, while Deflux shows promise with no observed migration.

Area of Science:

  • Pediatric Urology
  • Minimally Invasive Surgery
  • Biomaterials Science

Context:

  • Vesicoureteral reflux (VUR) in children often requires intervention.
  • Long-term antibiotic prophylaxis and surgery are traditional treatments.
  • Endoscopic subureteral injection presents a less invasive alternative.

Purpose:

  • To review worldwide data on endoscopic treatment of VUR.
  • To compare the effectiveness of different tissue-augmenting substances.
  • To evaluate long-term outcomes of endoscopic VUR treatment.

Summary:

  • Polytetrafluoroethylene (Teflon) is a highly effective and reliable injectable material for endoscopic VUR treatment.
  • Dextranomer/hyaluronic acid copolymer (Deflux) is a promising new substance with comparable efficacy to Teflon and no evidence of migration.
  • Endoscopic subureteral injection is a safe, effective, and minimally invasive outpatient procedure for pediatric VUR.

Impact:

  • Provides a less invasive treatment option for pediatric VUR.
  • Offers an alternative to long-term antibiotic use and surgery.
  • Highlights the efficacy and safety of endoscopic VUR treatments.
Abstract

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