Section of Paediatric Urology, Department of Urology, University Hospital of Padua, Padua, Italy

Ureteric obstruction occurs in about 1% of cases undergoing endoscopic treatment of vesicoureteric reflux (VUR). It usually develops shortly after treatment. We report on a case of obstruction occurring 1 year after subureteric injection of calcium hydroxyapatite. Obstruction was progressive and eventually required open ureteric reimplantation. Ureteric obstruction can occur also in the long-term after endoscopic treatment of VUR and even in the absence of symptoms. Although it is so rare as to make long-term follow-up of all treated cases cost ineffective, physicians should be aware of such complications, especially while testing new bulking agents

Written by
Zaccara A, Castagnetti M, Beniamin F, Rigamonti W.

Reference
Urology. 2007 Oct;70(4):811.e1-3
doi:10.1016/j.urology.2007.07.033

PubMed Abstract
PMID:17991568

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