ENDOSCOPIC TREATMENT OF VESICORENAL REFLUX IN INFANTS

Purpose: In a retrospective study we assessed the efficacy of the subu reteric collagen injection procedure in the refluxing ureter. Methods: The subureteric, endoscopic anti-reflux procedure was performed from M arch 1991 till March 1997 in 135 children mean age 5,4 years (range 12 months till 16,1 years) with 205 refluxing ureters. In 180 refluxing units micturating cystography and ultrasound were controlled at the en d of the study period of which 162 ureters showed a primary and 18 a s econdary reflux. Results: The overall cure rate after one or two times injection therapy was 67,2% in long term follow up. Intraoperative an d early surgical complications were not seen. No patient suffered uret eric obstruction. Conclusion: The management of vesicorenal reflux in children remains controversial. The specific indication for conservati ve management, endoscopic therapy and open surgery is debated especial ly for the treatment of low grade reflux. Regarding our own results an d the reports in the literature endoscopic treatment of vesicorenal re flux seems to be an alternative method in the treatment of vesicorenal reflux.