Endoscopic treatment of vesico-ureteric reflux is a viable alternative to open surgery. We evaluated the effectiveness of polydimethylsiloxane in the endoscopic treatment of vesico-ureteric reflux. In the period between September 1994 and March 1996, 30 ureteral units of 20 children with vesico-ureteric reflux were treated by means of subureteric polydimethylsiloxane injection. Median age was 8 years in the group including 8 female and 12 male patients. Of the 30 ureteral units, 26 had no reflux at the end of the first injection. Two of the remaining four units were not refluxing after the second injection procedure. Contralateral reflux was observed postoperatively in two of the eleven patients who were treated for unilateral disease. It seems that endoscopic polydimethylsiloxane injection is an effective procedure in the treatment of vesico-ureteric reflux.
IndicationsESWL is one of the preferred choices for the treatment of ureteric calculi [1]. ESWL has been used since 1992 in our institution and since 1993 patients with ureteric calculi have been treated while prone with the shockwave head on the contralateral side, using the Siemens Lithostar System; this technique was recently reported by Ostendorf and Hertle [2]. Although using a contralateral shock-wave head displaces the target away from the vertebral column and enhances visualization and focusing, sometimes the calculus is beyond the shockwave focus if the patient is obese or if the shock-wave head cannot be placed appropriately. Thus, we designed a belt to ease the treatment of patients with such problems. The patient with a ureteric calculus was placed prone; stone-free in 6 weeks. In two patients, the stone could before the shock-wave head was coupled to the patient not be disintegrated and was removed using endourologon the contralateral side, a triangular belt, with its apex ical procedures. All patients treated successfully with on that side and with its edges attached to the rails on ESWL had calcium oxalate stones, except one with a both sides, was fastened at the level of shock-wave head magnesium ammonium phosphate stone. No compligap (Fig. 1). Tensioning the apical strap allowed the cations or arrythmias were noted and discomfort from shock-wave head to be brought into a closer and more the increased abdominal tension was uncommon; most precise contact with the target.patients found the belt acceptable. Advantages ReferencesWhen the shock-wave head is coupled to the patient, any
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