title: [Endoscopic treatment of vesicoureteral reflux].
abstract: OBJECTIVE
  Endoscopic subureteral injection of tissue-augmenting substances, a 15-minute outpatient procedure has become an alternative to long-term antibiotic prophylaxis and surgical intervention in the treatment of vesicoureteral reflux (VUR) in children.
  
  
  METHODS
  We searched MEDLINE using the words: vesicoureteral reflux, treatment, the long-term results of endoscopic treatment of reflux. We summarized the worldwide data regarding endoscopic treatment of VUR using various tissue-augmenting substances presently available.
  
  
  RESULTS
  In terms of effectiveness and long-term successful results, polytetrafluoroethylene is still the most reliable injectable material for the endoscopic treatment of VUR. However, Dextranomer/hyaluronic acid copolymer (Deflux) is a new promising tissue augmenting substance which might be able to replace Teflon in the endoscopic treatment of reflux in terms of a similar to Teflon reflux cessation rate and exhibiting no evidence of migration.
  
  
  CONCLUSIONS
  Endoscopic subureteral polytetrafluoroethylene injection is a simple and effective outpatient procedure for in the treatment of vesicoureteral reflux. No long-term morbidity was observed in our patients with small amounts of injectable polytetrafluoroethylene.
authors.affiliation: Department of Urology, Shaare Zedek Medical Center, Jerusalem, Israel. bchertin@yahoo.com
authors.forename: Boris
authors.initials: B
authors.lastname: Chertin
authors.forename: Alon
authors.initials: A
authors.lastname: Fridmans
authors.forename: Dmitry
authors.initials: D
authors.lastname: Koulikov
authors.forename: Waeil
authors.initials: W
authors.lastname: Abu-Arafeh
authors.forename: Moshe
authors.initials: M
authors.lastname: Zilberman
authors.forename: Irit
authors.initials: I
authors.lastname: Hadas-Halpern
authors.forename: Amicur
authors.initials: A
authors.lastname: Farkas
mesh_terms: D001672:Biocompatible Materials; D004724:Endoscopy / Q000379:methods*; D006801:Humans; D011138:Polytetrafluoroethylene; D016896:Treatment Outcome; D014718:Vesico-Ureteral Reflux / Q000175:diagnosis / Q000601:surgery*
chemical_list: D001672:Biocompatible Materials; D011138:Polytetrafluoroethylene