[Endoscopic treatment of residual vesico-ureteral reflux after reimplantation in children: twelve cases].
OBJECTIVE
To evaluate the safety and efficacy of endoscopic treatment of vesicoureteric reflux in children persisting after surgical reimplantation.


METHODS
12 children between the ages of 17 and 103 months were treated by endoscopic injection after failure of Cohen ureterovesical reimplantation. An associated uropathy was present in 4 children. Reflux was unilateral in every case. The operation was performed as a day-only procedure. All children were reviewed at 3 months.


RESULTS
No early complications were observed. The follow-up cystography was normal in 10 children. The same degree of reflux persisted in 2 children, requiring a second ureterovesical reimplantation. A meatal stricture occurred 2 years after injection. The mean follow-up was 24.7 months. The success rate of the technique was 75% in this series.


CONCLUSIONS
This technique is reliable, simple and can be performed in the day hospital. However, these good results must not mask the risk of long-term recurrence, requiring prolonged surveillance.
Gaschignard
N
N
Service de Chirurgie Infantile, Hôpital de la Mère et de l'Enfant, Nantes, France.
Plattner
V
V
Boullanger
P
P
Heloury
Y
Y
D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007267:Injections / Q000295:instrumentation / Q000379:methods*; D008297:Male; D011138:Polytetrafluoroethylene; D012086:Reoperation; D012092:Replantation / Q000009:adverse effects*; D012189:Retrospective Studies; D016896:Treatment Outcome; D014513:Ureter / Q000601:surgery*; D018666:Ureteroscopy / Q000379:methods*; D014567:Urography; D014718:Vesico-Ureteral Reflux / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*
D011138:Polytetrafluoroethylene