title: Urodynamic changes after endoscopic correction of vesicoureteral reflux.
abstract: Massive bilateral vesicoureteral reflux (VUR) in a 7-year-old girl with spinal scoliosis was successfully treated by endoscopic correction. She was admitted due to a febrile urinary tract infection and urinary incontinence. A cystometrogram demonstrated normal detrusor function during storage. The endoscopic subureteric injection of polytetrafluoroethylene (Teflon) was performed, resulting in the disappearance of the VUR. A postoperative cystometrogram demonstrated overactive detrusor function during storage, necessitating anticholinergic medication. She has been free of febrile urinary tract infections and incontinence for 2 years postoperatively, although self-catheterization is necessary. In a case of neurogenic vesical dysfunction with massive reflux, endoscopic subureteric injection is not only a therapeutic tool, but also a useful diagnostic option for detecting occult detrusor overactivity during storage prior to open surgery.
authors.affiliation: Department of Urology, Okayama University Medical School, Shikata, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Ozawa
authors.forename: H
authors.initials: H
authors.lastname: Kumon
authors.forename: T
authors.initials: T
authors.lastname: Ichikawa
authors.forename: A
authors.initials: A
authors.lastname: Nagai
authors.forename: H
authors.initials: H
authors.lastname: Ohmori
mesh_terms: D002648:Child; D004724:Endoscopy; D005260:Female; D006801:Humans; D007267:Injections; D011138:Polytetrafluoroethylene / Q000008:administration & dosage / Q000627:therapeutic use; D014513:Ureter; D001743:Urinary Bladder / Q000503:physiopathology; D014563:Urodynamics; D014567:Urography; D014718:Vesico-Ureteral Reflux / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*
chemical_list: D011138:Polytetrafluoroethylene