[Endoscopic treatment of vesico-ureteral reflux in children]

Endoscopic injection of Teflon behind the ureteral orifice allows correction of vesicoureteral reflux. 22 children, boys and girls, were treated by this method. Their ages varied from 1 week to 13 years. 33 refluxing ureters have been treated. All grades of reflux have been successfully treated. Only one case of reflux recurred on control cystography done 3 months later and was successfully treated by a second injection of Teflon. A second case has been operated for a multicystic non functioning kidney associated with ureteric duplication. There has been no case of ureteric obstruction or any other significant complication. The treatment takes about 15 minutes and hospitalisation is reduced to one day. By its simplicity and reliability, endoscopic treatment of reflux allows to widen the usual indication for the surgical correction of reflux usually limited to the higher grade of reflux only.