Reflux in Complete Duplication in Children

Publisher Website
Google Scholar
Abstract
Reflux is the most common abnormality associated with complete ureteral duplication. Early surgical correction of reflux when it occurs in duplicated systems is emphasized because of a negligible success rate in non-operative therapy. Each orifice with reflux was judged on its own merit, i.e., position, appearance and submucosal tunnel length. Fifty-nine cases were reviewed to ascertain whether this non-operative approach has justification. Early operation was elected in 61% of those patients with reflux in association with total duplication. In 48% of patients followed with nonoperative surveillance reflux had either stopped spontaneously or was medically stable.