Vesicoureteral Reflux

Publisher Website
Google Scholar
Abstract
Two hundred and forty-eight children were evaluated to ascertain the cause of vesicoureteral reflux. Bladder outlet obstruction was corrected when present. Ureteral reimplantation was performed when infection persisted, hydronephrosis worsened, or renal clearances deteriorated. Except in patients with neurogenic bladder and exstrophy, reflux ceased, improved or stabilized in 81%, without operation. When reflux was due to infection or occurred through a normal ureterovesical junction behind an obstruction, reimplantation was unnecessary. Reflux due to a short intravesical ureter usually stopped while a completely gaping orifice often required surgical revision. The more abnormal the ureteral orifice appears, the more likely it is that antireflux surgery will be required. Deterioration of renal function was occurring in spite of therapy in some of the 19% of refluxing renal units requiring reimplantation. It is not possible to successfully manage all patients with reflux without operation.

This publication has 1 reference indexed in Scilit: