Endoscopic vesico-ureteric reflux surgery (STING)

• Vesical-ureteric reflux. It is a minimally invasive procedure performed with endoscopy.
• A synthetic material (Bulkamid) is injected at the ureteric opening to prevent reflux
• Grade 3-4 Vesical-Ureteric Reflux where conservative management has failed with a progressive deterioration in renal function.

How is it done?

• Patients will receive a general anaesthesia.
• Prophylactic antibiotics is given.
• The correct ureteric system is identified and marked while you are awake.
• This will be an endoscopic procedure.
• A cystoscopy will be done with injection of Bulkamid just under the affected ureteric orifice.
• Enough Bulkamid will be injected to partially close the ureteric opening yet not obstructing the orifice.
• An indwelling catheter is placed.

What next?

• You may be in hospital the day or overnight.
• As soon as you are comfortable with no signs of pain and emptying your bladder sufficiently, you will be discharged.
• Review in 6 weeks.
• DON’T SUFFER IN SILENCE, OR YOU WILL SUFFER ALONE!

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Wes Cystoscopy RGP and STING anti-reflux VUR procedure