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[Vesico-ureteral reflux. Ultrasonographic aspect of endoscopic treatment (excluding follow-up)]
1Département de Radiologie Viscérale et Vasculaire, Hôpital Saint-Jacques, Besançon.
Insights
This study evaluated an endoscopic technique for treating pediatric vesicoureteral reflux. The method uses Teflon disks to reinforce ureter entry, showing promise in managing this common condition in children.
Area of Science:
- Pediatric Urology
- Minimally Invasive Surgery
- Biomaterials in Medicine
Context:
- Vesicoureteral reflux (VUR) affects numerous children, increasing risks of urinary tract infections and kidney damage.
- Traditional treatments for VUR can be invasive, prompting the search for less invasive alternatives.
- Endoscopic techniques offer a promising avenue for managing pediatric urological conditions.
Purpose:
- To describe and evaluate a novel endoscopic technique for treating pediatric vesicoureteral reflux (VUR).
- To assess the efficacy of Teflon disk injection in reinforcing the intravesical ureteral tunnel.
- To determine the detectability and imaging characteristics of the implanted Teflon disk.
Summary:
- Thirty-four children (mean age 6 years) with 56 refluxing ureters underwent treatment using a new endoscopic approach.
- The technique involves injecting a radiotransparent Teflon disk submucosally at the ureteral meatus to support the intravesical ureter.
- Ultrasound imaging reliably detected the Teflon disks as highly reflective structures with posterior shadowing.
Impact:
- This endoscopic method provides a minimally invasive treatment option for pediatric vesicoureteral reflux.
- The Teflon disk implantation technique offers a potentially effective and durable solution for VUR.
- Ultrasound's ability to visualize the implant facilitates post-procedure monitoring and assessment.
Abstract:
Thirty four children, mean age 6 years, with reflux of 56 ureters were treated by an endoscopic approach. The technique, a recent innovation, attempts to reinforce the intravesical trajectory of the ureter by the injection of a Teflon disk below the vesical mucosa at the ureteral meatus level. The Teflon disk used is radiotransparent but could always be detected by ultrasound imaging, whatever its size, as a very reflecting image with a posterior cone shadow.