Completely duplicated ureters: A new concept of reimplantation

Endoscopie Correction of Vesico-Ureteric Reflux in Duplex Systems

“…technique of STING in both instances is exactly the same. 30% of patients with VUR into completely duplicated systems needed multiple injections; the eventual failure rate of 3 % ( 1 out of 27 refluxing units) compares well with the reported failure rates of 7-40% following open surgi cal procedures for the correction of duplex reflux [7], In the report of the International Reflux Study Group [24], in the European portion of the study, 19% of the children demonstrated reflux and 5% exhibited obstruction postoperatively. In the American portion of the study, there was no post-operative obstruction but 9% had post-opera tive reflux.…”

“…considered an indication for an antireflux operation [2][3][4][5][6][7], Vesico-ureteric reflux (VUR) is the most common problem associated with ureteral duplication [1], Most studies report that the spontaneous rate of reflux resolu tion in duplex systems is low and, therefore, reflux into duplex systems, especially high-grade reflux, is generally…”