ENDOSCOPIC TREATMENT OF VESICOURETERAL REFLUX IN ADULTS WITH A NEUROPATHIC BLADDER

The injection of submeatal paste to treat vesicoureteric reflux is wel l documented in paediatric patients but there is little documentation on this treatment for adults, especially with secondary reflux. We pre sent our experience of treatment of five adults with neuropathic bladd ers, consisting of eight refluxing ureters. 63% showed complete resolu tion of reflux and all showed improvement with no complications. The h igh degree of success, ease of the procedure and the lack of complicat ions suggests that this could be the treatment of choice for adults wi th a neuropathic bladder and vesicoureteric reflux.