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CORRELATION OF THE ENDOSCOPIC APPEARANCE WITH CLINICAL OUTCOME FOR SUBMUCOUS POLYTEF PASTE INJECTION IN VESICO‐URETERIC REFLUX
Author(s) -
Dewan P. A.,
Higgs M. J.
Publication year - 1995
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1995.tb00671.x
Subject(s) - medicine , cystoscope , reflux , body orifice , ureter , surgery , anatomy , disease
The endoscopic injection of Polytef paste is now a well established method of treating vesico‐ureteric reflux. In this study the video tapes of 64 treatments were independently reviewed to assess any predictors of failure. The visual appearance of the mound of paste was found to correlate with the clinical outcome, except when less than 0.2 mL of paste was used for smaller ureteric orifices, or when the ureteric orifice was large enough to admit the 9.3 FG cystoscope. In cases with a large ureteric orifice effective treatment was achieved without the neat crescent‐on‐a‐mound appearance, provided a larger than average volume of paste was used. Meticulous placement of the needle was also shown to be important if success was to be ensured.