(A) Diagram showing the injection sites used for endoscopic treatment for vesicoureteral reflux:
Intraureteric proximal HIT site
Intraureteric distal HIT site
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.
Deflux Injectable Gel (Q-Med, Uppsala, Sweden), revised 04/2016.
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.
Aransay A. Tratamiento endoscópico del reflujo vesicoureteral. An Pediatr Contin 2007; 5:227.
Graphic 111941 Version 2.0
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