[Surgical treatment of vesico-ureteral reflux: comparison between sub-ureteric injection of Polytef and the Cohen technique].
40 patients who need surgical treatment for their vesico-ureteral reflux have been operated between 1989 and 1992; 26 of them have got the subureteric injection of Polytef (S.U.I.P.) and 14 the neo-uretero-cystostomy (N.U.C.) of Cohen. Even the N.U.C. of Cohen keeps the best results in our experience with only one stenosis on 28 operated ureters (3%), the S.U.I.P. is still an excellent technic because of its simplicity, low morbidity with 90% rate of success. This rate seems stable after a recoil of 19 +/- 13 months. Research must focus on finding a new substance to replace the Polytef and stop the fear of its particles migration found experimentally in animals.
Daher
P
P
Service de Chirurgie Infantile, Hôtel-Dieu de France, Beyrouth, Liban.
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D003558:Cystoscopy; D003559:Cystostomy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007267:Injections / Q000379:methods; D008297:Male; D011138:Polytetrafluoroethylene; D011183:Postoperative Complications / Q000453:epidemiology; D016896:Treatment Outcome; D014519:Ureterostomy / Q000379:methods*; D014718:Vesico-Ureteral Reflux / Q000145:classification / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery*
D011138:Polytetrafluoroethylene
Traitement chirurgical du reflux vésico-urétéral: comparison entre l'injection sous-urétérale de Polytef et la technique de Cohen.