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Endoscopic repair of vesicoureteral reflux

Endoscopic repair of vesicoureteral reflux
A: Diagram showing the injection sites used for endoscopic treatment for vesicoureteral reflux. 1. Intraureteric proximal hydrodistension implantation technique (HIT) site; 2. Intraureteric distal HIT site; 3. Subureteric site.
B: Diagram demonstrating the injection of a bulking agent (polymer combination of dextranomer and hyaluronic acid) at the subureteric site, referred to as the STING procedure.
STING: subureteral teflon injection.
Modified from:
  1. Deflux Injectable Gel (Q-Med, Uppsala, Sweden), revised 04/2016.
  2. Cerwinka WH, Scherz HC, Kirsch AJ. Dynamic hydrodistention classification of the ureter and the double hit method to correct vesicoureteral reflux. Arch Esp Urol 2008; 61:882.
  3. ​Aransay A. Tratamiento endoscópico del reflujo vesicoureteral. An Pediatr Contin 2007; 5:227.
Graphic 111941 Version 1.0