Background/Purpose: Vesico-ureteric reflux (VUR) is a common problem in children with
neuropathic bladder. Lesserdegree VUR may be manageable by intermittent catheterization
or by anticholinergics, but higher grades usually require surgical treatment. If left untreated,
two thirds of such patients may experience deterioration of the upper renal tracts. The aim of
this study was to compare the results of the STING (Subureteric Teflon Injection) technique
with surgical ureteric reimplantation as treatment for VUR in neuropathic bladder. Methods …

Approximately 35% of children with urinary infection have vesico-ureteric reflux (McGovern,
Marshall, and Paquin, 1960; Ericsson, 1960). It is not known whether infection causes the
reflux by damaging the uretero-vesical valvular mechanism, or whether a congenital
abnormality permits reflux which predisposes to infection. Yet whatever the aetiology, it
seems logical to assume that when infection occurs in the presence of reflux there will be
renal involvement, for it has been shown that there is a close correlation between ureteric …