Abstract
The injection of submeatal paste to treat vesicoureteric reflux is well documented in paediatric patients but there is little documentation on this treatment for adults, especially with secondary reflux. We present our experience of treatment of five adults with neuropathic bladders, consisting of eight refluxing ureters. 63% showed complete resolution of reflux and all showed improvement with no complications. The high degree of success, ease of the procedure and the lack of complications suggests that this could be the treatment of choice for adults with a neuropathic bladder and vesicoureteric reflux.
Similar content being viewed by others
Article PDF
References
Talbot H S, Bunts R C . Late renal changes in paraplegia: Hydronephrosis due to vesicouretral reflux. J Urol 1949: 61: 810.
Hutch J A . Vesicoureteral reflux in the paraplegic, cause and correction. J Urol 1952: 68: 4.
De Sy W, Oosterlinch W, Wyndacle J J . A plea for anti-reflux operations in adults: review of 50 cases. J Urol 1978; 120: 549–551.
Matovschek E . Die Behandlung des vesicorenalon Refluxes durch transurethralen Einspritzung von Teflonpaste. Urologe (A) 20:263–266.
O'Donnell B, Puri P . Treatment of vesicoureteric reflux by endoscopic injection of Teflon. BMJ 1984; 289: 7–9.
Puri P, O'Donnell B . Correction of experimentally produced vesicoureteric reflux in the piglet by intravesicle injection of Teflon. BMJ 1984; 289: 5–7.
Puri P . Ten year experience with subureteric Teflon (polytetra-fluoethylene) injection (STING) in the treatment of vesicoureteric reflux. BJU 1995; 75: 126–131.
Preston Smith D, Williams E, Kaplan and Ryoichi Oyasu. Evaluation of polydimethylsiloxone as an alternative in endoscopic treatment of vesico-ureteral reflux. J Urol 1994; 152: 1221–1224.
Malizia A A et al. Migration and granulomatous reaction after periurethral injection of Polytef (Teflon). J Am Med Ass 1984; 251: 3277–3281.
Henley D R et al. Particulate silicone of use in periurethral injections: a study of local tissue effects and a search for migration. J Urol 1992; 147: 376a.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Foley, S., Sheriff, M. & Shah, P. Endoscopic treatment of vesicoureteric reflux in adults with a neuropathic bladder. Spinal Cord 34, 657–658 (1996). https://doi.org/10.1038/sc.1996.118
Issue Date:
DOI: https://doi.org/10.1038/sc.1996.118