Controversy in Renal Transplantation: Antireflux Versus Non-Antireflux Ureteroneocystostomy

Abstract
A comparison of 118 consecutive [human] nephroureteral allografts suggests that ureteroneocystostomy provides excellent results with (60 cases) or without (52 cases) an antireflux procedure. Reflux was noted in less than 10% of each group after transplantation and no morbidity could be attributed to reflux when it was found. There was no obstruction or anastomotic leakage in either group. The advantages of each procedure are discussed.