Urodynamic changes after endoscopic correction of vesicoureteral reflux.
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.
Ozawa
H
H
Department of Urology, Okayama University Medical School, Shikata, Japan.
Kumon
H
H
Ichikawa
T
T
Nagai
A
A
Ohmori
H
H
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*
D011138:Polytetrafluoroethylene