Radiographic evaluation of subureteric injection of Teflon to correct vesicoureteral reflux

M. D. Gore, S. K. Fernbach, James S Donaldson, Arnold Shkolnik, M. R. Zaontz, William E Kaplan

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

The imaging studies of 83 children (115 ureters) with vesicoureteral reflux who were treated by subureteric injection of Teflon (STING) were reviewed. On plain films, the Teflon rarely may be seen as faintly radiodense. On sonography, it is echogenic and has variable acoustic shadowing. On CT it is dense (160-466 H). Postsurgical cystography showed cessation of reflux in 83 ureters (72%). Complications of STING were uncommon. No granulomatous masses were identified in the region adjacent to the STING. Transient, free peritoneal fluid developed in three children and ureteral dilatation in six, three of whom required intervention. In one child, most of the Teflon disappeared from the original site of injection, as noted on a follow-up CT scan; possibly it had been extruded into the bladder. The STING procedure probably will become more popular. Knowledge of its radiologic appearance is important for the radiologist in order to effectively evaluate these children postoperatively.

Original languageEnglish (US)
Pages (from-to)115-119
Number of pages5
JournalAmerican Journal of Roentgenology
Volume152
Issue number1
DOIs
StatePublished - Jan 1 1989

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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