[A good solution for a bad case].
We present the case of a child presenting vesicoureteral reflux after ureteral reimplantation and endoscopic treatment. In a second cistoscopy to repeat endoscopic treatment a new orifice in the medium third of the tunnel of the previous ureteral reimplantation was discovered. This orifice acted as a shunt and maintained reflux. The patient was treated by further occlusion of the orifice with another injection of "Dextranómero/Nasha".
Rodó Salas
Juan
J
Sección de Urología Pediátrica, Hospital Sant Joan de Déu, Barcelona, España. jrodo@hsjdbcn.org
D002648:Child; D003558:Cystoscopy; D003911:Dextrans / Q000008:administration & dosage; D006801:Humans; D006820:Hyaluronic Acid / Q000008:administration & dosage; D007267:Injections; D008297:Male; D017211:Treatment Failure; D014718:Vesico-Ureteral Reflux / Q000601:surgery / Q000628:therapy*
D003911:Dextrans; C094535:deflux; D006820:Hyaluronic Acid