Ureteric reflux in adults and children treated exclusively by endoscopic Teflon injection: a 10-year experience.
BACKGROUND
Since 1988 the author has used only endoscopic injection of Teflon (polytetrafluoroethylene) paste in the correction of ureteric reflux, in adults and children.


METHODS
The present paper reports a series of 32 patients, 18 children and 14 adults, with 45 refluxing ureters so treated. Intra-operative cystogram was carried out and a second Teflon paste injection was given under the same anaesthetic where persistent reflux was demonstrated after the initial Teflon injection, to reduce the number of anaesthetics given.


RESULTS
In those patients who consented to a delayed cystogram after the first injection of Teflon, there was a cure rate of 83.3% in children and 70% in adults from that first injection.


CONCLUSIONS
Endoscopic retro-ureteric injection of Teflon paste is done as a day case under general anaesthesia and causes the patient no pain postoperatively. It gives a high cure rate and is an option that should be offered to every patient where a decision has been made to correct ureteric reflux.
Hughes
P D
PD
John James Memorial Hospital, Canberra, Australian Capital Territory, Australia. hughes.p.urol@interact.net.au
D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007267:Injections / Q000379:methods; D008297:Male; D009824:Ointments; D011138:Polytetrafluoroethylene / Q000008:administration & dosage*; D014513:Ureter; D018666:Ureteroscopy; D014718:Vesico-Ureteral Reflux / Q000628:therapy*
D009824:Ointments; D011138:Polytetrafluoroethylene