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Efficacy and Causes of Failure of Endoscopic Subureteric Injection of Teflon in the Treatment of Primary Vesicoureteric Reflux
Author(s) -
BHATTI H. A.,
KHATTAK H.,
BOSTON V. E.
Publication year - 1993
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1993.tb15923.x
Subject(s) - medicine , reflux , asymptomatic , surgery , sting , vesicoureteric reflux , implant , disease , engineering , aerospace engineering
Summary— A total of 135 consecutive patients with primary vesicoureteric reflux (VUR) were treated as day cases using submucosal Teflon injection (STING) between 1984 and 1988. Up to 3 repeat procedures were performed in the event of failure; 89% of patients and 92% of ureters were cured. None was obstructed and 2 recurred. Eight patients continue to have asymptomatic reflux Grade 2 or less, while 7 have had open surgery to correct the reflux. Most of the failures had a satisfactory appearance at STING but this deteriorated with time and appears to have been caused by leakage of Teflon from the injection site post‐operatively. There were no signs or symptoms of embolisation or migration of the implant material.