Endoscopic correction of primary vesicoureteric reflux

Area of Science:

• Pediatric Urology
• Minimally Invasive Surgery

Background:

• Vesicoureteric reflux (VUR) is a common condition in children.
• Endoscopic treatment offers a minimally invasive alternative to surgery.

Purpose of the Study:

• To evaluate the efficacy and safety of endoscopic Polytef paste injection for primary vesicoureteric reflux in children.
• To assess the long-term outcomes and potential complications of the procedure.

Main Methods:

• One hundred and three children with primary VUR underwent endoscopic Polytef paste injection.
• Patients were followed up for 3 to 23 months post-procedure.
• Intravenous urograms were used for follow-up assessment.

Main Results:

• 75% of ureters showed complete resolution of reflux after one injection.
• 14% required two to four injections for correction.
• 8% showed improved reflux grade; duplex systems had higher recurrence rates.
• No ureteric obstruction was observed on follow-up.

Conclusions:

• Endoscopic Polytef paste injection is a safe, simple, and effective treatment for all grades of VUR.
• Attention to technical details and accurate injection are crucial for optimal outcomes.
• The procedure avoids ureteric obstruction, making it a favorable option for pediatric VUR.