[Endoscopic treatment of congenital vesico-ureteral reflux]. 1990

M Salas Sironvalle
Service D'Urologie et Chirurgie de la Transplantation, Hospital Edouard Herriot, Université Lyon I, France.

Sub uretric injection of teflon was used in 62 adults patients (92 ureteral units, 30 bilateral cases), 49 females, 13 males for treatment of congenital VUR, in 76 cases the refux was permanent. Degree (D) I = 18 Ureters (U), D II = 28 U., D III = 22 U., D IV = 7 U and D V = 1 U. Follow-up consisted in ultrasound examination cystogram and IVP performed at one month (92 U.) three months (81 U), one year (64 U) and two years (12 U). The procedure was performed under general anaesthesia. The quantity of polytef varied from 1 to 2 cc. Correction of VUR was observed in 70/92 U (76.1%), 11 persistent VUR were treated by reinjection of politef and in six VUR disappeared (83% total correction). Recurrence was observed in 4 patients, at 3 months, one year and two years (2 cases). 3 patients had reinjection (2 success, 1 failure). Through long term results are still to be evaluated. The results at one and two years seems to confirm the inoucuity and the effectiveness of endoscopic procedure for treatment of congenital VUR.

UI MeSH Term Description Entries
D008297 Male Males
D011138 Polytetrafluoroethylene Homopolymer of tetrafluoroethylene. Nonflammable, tough, inert plastic tubing or sheeting; used to line vessels, insulate, protect or lubricate apparatus; also as filter, coating for surgical implants or as prosthetic material. Synonyms: Fluoroflex; Fluoroplast; Ftoroplast; Halon; Polyfene; PTFE; Tetron. FEP,Fluon,Politef,Polytef,TFE,Teflon,Expanded PTFE,Fluoroplast,GORE-TEX,Goretex,PTFE,Tarflen,GORE TEX,PTFE, Expanded
D003131 Combined Modality Therapy The treatment of a disease or condition by several different means simultaneously or sequentially. Chemoimmunotherapy, RADIOIMMUNOTHERAPY, chemoradiotherapy, cryochemotherapy, and SALVAGE THERAPY are seen most frequently, but their combinations with each other and surgery are also used. Multimodal Treatment,Therapy, Combined Modality,Combined Modality Therapies,Modality Therapies, Combined,Modality Therapy, Combined,Multimodal Treatments,Therapies, Combined Modality,Treatment, Multimodal,Treatments, Multimodal
D004724 Endoscopy Procedures of applying ENDOSCOPES for disease diagnosis and treatment. Endoscopy involves passing an optical instrument through a small incision in the skin i.e., percutaneous; or through a natural orifice and along natural body pathways such as the digestive tract; and/or through an incision in the wall of a tubular structure or organ, i.e. transluminal, to examine or perform surgery on the interior parts of the body. Endoscopic Surgical Procedures,Surgical Procedures, Endoscopic,Endoscopic Surgical Procedure,Endoscopy, Surgical,Surgical Endoscopy,Surgical Procedure, Endoscopic,Procedure, Endoscopic Surgical,Procedures, Endoscopic Surgical
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D014718 Vesico-Ureteral Reflux Retrograde flow of urine from the URINARY BLADDER into the URETER. This is often due to incompetence of the vesicoureteral valve. Primary Vesicoureteral Reflux,Secondary Vesicoureteral Reflux,Vesicoureteral Reflux Grade1,Vesicoureteral Reflux1,Vesicoureteral Reflux,Vesicoureteral Reflux 1,Grade1, Vesicoureteral Reflux,Reflux, Primary Vesicoureteral,Reflux, Secondary Vesicoureteral,Reflux, Vesico-Ureteral,Reflux, Vesicoureteral,Reflux1, Vesicoureteral,Vesico Ureteral Reflux,Vesicoureteral Reflux, Primary,Vesicoureteral Reflux, Secondary,Vesicoureteral Reflux1s

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