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Unilateral Ureteral Obstruction Model for Investigating Kidney Interstitial Fibrosis
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Unilateral Ureteral Obstruction Model for Investigating Kidney Interstitial Fibrosis

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Taking the STING Out of Ureteral Obstruction

Jack Crozier1, Ivan Aw2, Philip Huang Min Tan2

  • 1Department of Surgery, Western Health, Footscray, Australia.; Department of Surgery, The University of Melbourne, Victoria, Australia.

Journal of Endourology Case Reports
|October 28, 2016
PubMed

Insights

Vesicoureteral reflux (VUR) in children can lead to kidney damage. A rare complication of older endoscopic surgery, ureteral obstruction, was successfully treated with a new endoscopic technique.

Area of Science:

  • Pediatric Urology
  • Surgical Innovation
  • Urologic Complications

Background:

  • Vesicoureteral reflux (VUR) affects approximately 1% of children, necessitating treatment to prevent recurrent urinary tract infections (UTIs) and preserve renal function.
  • Surgical interventions for VUR include endoscopic injection and ureteral reimplantation.
  • Subureteral Teflon (polytetrafluoroethylene) injection (STING) was an endoscopic approach now largely abandoned due to material migration complications.

Observation:

  • A case is presented of a patient experiencing delayed ureteral obstruction.
  • This obstruction occurred 21 years after the initial Subureteral Teflon (polytetrafluoroethylene) injection (STING) procedure.

Findings:

  • The study details a rare, late-onset ureteral obstruction following a Subureteral Teflon (polytetrafluoroethylene) injection (STING).
  • A novel endoscopic approach was successfully employed to manage this delayed complication.

Implications:

  • This case highlights the potential for long-term complications from older VUR treatments.
  • The successful management underscores the utility of innovative endoscopic techniques for addressing refractory urologic conditions.

Keywords:
STINGTeflonflank painureteral obstructionvesicoureteral reflux

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