Endoscopic treatment of vesicoureteral reflux in children with neuropathic bladder

The authors report on the management of 15 patients with vesicoureteral reflux secondary to neuropathic bladder treated by endoscopic subureteral injection of polytef paste (Teflon) in the first 9 cases and collagen (Zyplast) in the last 6 cases. Their ages ranged from 18 months to 12 years. The degree of reflux ranged from grade II to grade V. The amount of paste injected varied from 0.2 to 1 ml Teflon and from 0.75 to 1.5 ml Zyplast. The endoscopic treatment was completely successful in 12 cases. The risks and benefits of endoscopic treatment versus medical and traditional surgical management are discussed. The endoscopic approach could be a valuable alternative to open surgical repair in vesicoureteral reflux secondary to neuropathic bladder.