Endoscopic treatment of vesicoureteric reflux in adults with a neuropathic bladder.

The injection of submeatal paste to treat vesicoureteric reflux is well documented in paediatric patients but there is little documentation on this treatment for adults, especially with secondary reflux. We present our experience of treatment of five adults with neuropathic bladders, consisting of eight refluxing ureters. 63% showed complete resolution of reflux and all showed improvement with no complications. The high degree of success, ease of the procedure and the lack of complications suggests that this could be the treatment of choice for adults with a neuropathic bladder and vesicoureteric reflux.