Related Experiment Videos
[Transurethral teflon paste injection for vesicoureteral reflux in neurogenic bladder dysfunction]
K Hashimoto1, Y Kishima, N Onishi
1Department of Urology, Kinki University School of Medicine.
Nihon Hinyokika Gakkai Zasshi. the Japanese Journal of Urology
|December 1, 1993
Summary
Endoscopic teflon paste injection effectively treated vesicoureteral reflux in patients with neurogenic bladder dysfunction. This minimally invasive procedure offers a valuable alternative to traditional surgery, with no observed complications.
Area of Science:
- Urology
- Pediatric Urology
- Minimally Invasive Surgery
Context:
- Neurogenic bladder dysfunction frequently causes vesicoureteral reflux.
- Traditional surgical correction (ureteroneocystostomy) can be invasive.
- Endoscopic teflon paste injection offers a less invasive treatment option.
Purpose:
- To evaluate the efficacy and safety of transurethral teflon paste injection for treating vesicoureteral reflux in patients with neurogenic bladder dysfunction.
Summary:
- Transurethral teflon paste injection was performed on 12 refluxing ureters in 7 patients with neurogenic bladder.
- Preoperative cystometry revealed hypoactive bladder function; voiding cystography showed reflux grades 1-5.
- Mean follow-up was 25.1 months. Reflux resolved post-injection, with two recurrences showing partial or no improvement. No pyelonephritis or complications occurred.
Impact:
- Endoscopic teflon paste injection is a safe and effective alternative for managing vesicoureteral reflux in neurogenic bladder patients.
- This technique avoids the morbidity associated with open surgical procedures.
- Further research may confirm long-term efficacy and recurrence rates.