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Endoscopic correction of vesicoureteric reflux in children
1Department of Surgery, Aga Khan University Hospital, Karachi.
Insights
Sub-ureteric teflon injection (STING) offers an effective endoscopic solution for severe pediatric vesicoureteric reflux (VUR). This minimally invasive procedure shows a high success rate with no reported complications, avoiding open surgery.
Area of Science:
- Pediatric Urology
- Minimally Invasive Surgery
Background:
- Vesicoureteric reflux (VUR) frequently causes recurrent urinary tract infections in children.
- Severe VUR (grades III-V) typically necessitates surgical intervention, unlike milder cases managed with antibiotics.
Purpose of the Study:
- To evaluate the initial efficacy and safety of endoscopic sub-ureteric teflon injection (STING) for correcting pediatric VUR.
- To assess the success rate and complication profile of the STING procedure.
Main Methods:
- The study involved the endoscopic correction of VUR using the STING technique in ten pediatric patients.
- Data were collected and analyzed for 15 affected ureters.
Main Results:
- The STING procedure achieved an 86.6% success rate across 15 treated ureters.
- No complications were observed during the study period.
- Two ureters showed no change in VUR grade post-procedure.
Conclusions:
- Endoscopic correction of VUR via STING is a safe and effective treatment option for children.
- The STING procedure provides a minimally invasive alternative to open surgery, offering significant benefits for pediatric patients.
Abstract:
Vesicoureteric reflux (VUR) is a common cause of recurrent urinary tract infections in children. Mild reflux (grade I-II) is usually managed conservatively with antibiotics but severe degree of reflux (grades III, IV, V) requires surgical intervention. We present our initial experience with endoscopic correction of vesicoureteric reflux by sub-ureteric teflon injection (STING) in ten patients. Results are available for 15 ureters with a success rate of 86.6%. There was no change in the grade of VUR in two ureters. There were no complications. Endoscopic correction of vesico-ureteric reflux by sub-ureteric teflon injection is effective and simple with no pain to the child. It averts the need for open operations.