Vesico-ureteric reflux following renal transplantation

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Abstract
Twenty-eight patients who had received a renal transplant have been studied in order to determine the incidence and significance of vesico-ureteric reflux in association with urinary infection. The ureters had been anastomosed either by uretero-ureteric or ureterovesical techniques without an anti-reflux procedure. Ten of the 28 patients had reflux into the transplant and 4 had reflux into a non-functioning ureteric stump. Reflux was significantly more frequent in the ureterovesical group. Marked reflux in patients with recurrent urinary infections was associated with renal damage. Marked reflux in uninfected patients or mild reflux in patients with recurrent urinary infections was not associated with renal damage.