[Endoscopic treatment of intermittent vesico-ureteral reflux in women. Apropos of 40 cases].
To evaluate the clinical efficacy of endoscopic treatment of intermittent vesicoureteric reflux in adult females.


METHODS
Forty women presenting with recurrent urinary tract infection related to intermittent vesicoureteric reflux, underwent subureteric Teflon injection according to the O'Donnell procedure (mean volume of Teflon 1 cc). Thirty patients required one injection, while nine patients needed two injections. Meatostomy or urethral dilatation were associated in 29 cases (72.5%).


RESULTS
No complication occurred. Clinical results were evaluated using a questionnaire. The mean follow-up was 33.5 months (range 12-72), complete disappearance of infection was obtained in 31 out of 40 cases (77.5%). Recurrent urinary infection occurred in 9 cases. After complementary Teflon injection, urinary infection disappeared in 5 patients and finally a complete cure was obtained in 36 out of 40 cases (90%).


CONCLUSIONS
Intermittent vesicoureteric reflux could be easily cured by an endoscopic procedure. This minimally invasive technique is simple and well adapted to this relatively benign disease.
Gelet
A
A
Service d'Urologie ét Chirurgie de Transplantation, Pr M. Dubernard, Hôpital Edouard-Gerriot, Lyon.
Friaa
S
S
Dawhara
M
M
Martin
X
X
Maréchal
J M
JM
Cuzin
B
B
Dubernard
J M
JM
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D004106:Dilatation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007267:Injections; D008875:Middle Aged; D011138:Polytetrafluoroethylene; D019736:Prostheses and Implants; D012008:Recurrence; D011795:Surveys and Questionnaires; D018666:Ureteroscopy; D014519:Ureterostomy; D014552:Urinary Tract Infections / Q000628:therapy; D014718:Vesico-Ureteral Reflux / Q000628:therapy*
D011138:Polytetrafluoroethylene