Endoscopic correction of vesicoureteral reflux in patients with neurogenic bladder dysfunction

Abstract

Transurethral injection of Teflon paste (TUI) was carried out in 24 ureters of 16 patients with vesicoureteral reflux (VUR) secondary to neurogenic bladder dysfunction at an age ranging from 4 to 77 years, and the results were compared with those of conventional open surgery. During the mean follow-up period of 20.1 months, reflux disappeared in 19 ureters (79%), so that the success rate of endoscopic operation was considered to be satisfactory as compared with that of conventional open surgery, in which reflux disappeared in 16 (80%) of 20 ureters in 16 patients with neurogenic bladder dysfunction at our department. No exacerbation of hydronephrosis was observed postoperatively, and no complication was noted. This procedure, which is minimally invasive and technically simple, may be regarded as the first choice for VUR secondary to neurogenic bladder dysfunction.

Trigonoplasty to Treat Secondary Vesicoureteral Reflux in Neurogenic Bladders

“…It has a success rate of 60-80%, depending on the substance used and the degree of reflux corrected [3]. In some cases multiple injections are needed, but its safety and long-term effectiveness are controversial [4,[12][13][14][15].…”

Macroplastique and Botox are superior to Macroplastique alone in the management of neurogenic vesicoureteric reflux in spinal cord injury population with presumed healthy bladders

“…7,14-19 Sugiyama et al, reported 79% success following Teflon paste injection in 16 patients with neurogenic bladder dysfunction. 20 Shah et al, reports 77.2% success after single or repeat injection in similar population. 8 Polackwick et al, in a series of 12 patients with neurogenic bladder showed that the success reduced to 35% at 4.5 years (58% at 12 months).…”