Ces Urol 1999, 3(1):27-30

Submucous blood instillation - a method of vesicoureteral reflux treatment (preliminary results)

I. Novák

Urologická klinika FN, Hradec Králové

Our study evaluates our first results in endoscopic treatment of vesicoureteral reflux. We apply the patient's autologous blood under the mucous membrane according to the modified method of Matouschek instead of commonly used Teflon. The number of 54 patients (73 ureters) were examined in the period from January 1997 till January 1998. 52 patients were in the age group from 1 to 15 years, one was 40 years old male and one was 65 years old female. We have treated reflux grade I to IV The secondary reflux existed in 39 patients (72 %) - 53 ureters. All patients were undergoing longtime pharmacological treatment, but they suffered from repeated urinary tract inflammations (clinical documented). The surgery was provided in general anesthesia, using common cystoscope and special instillation needle. The heparinised autologous blood and protaminsulphate were instillated. The miction cystourethrography was performed in the time of surgery and 3 months later to assess the results of treatment. Following the first instillation the reflux disappeared in 34 ureters (46,5%) 23 of secondary reflux type (43,4%) and 11 primary ones (55 %). The treatment was successful in reflux grade I to III. In IV grade of reflux and ureter duplex the treatment was always unsuccessful. We have not register any complications during the surgery or in the following time period.
Key words:

Keywords: Vesicoureteral reflux, Endoscopic surgery, Submucous autologous blood instillation

Published: January 1, 1999