Bladder Neck Obstructions In Children

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Abstract
Two hundred eighty-five consecutive cases of bladder neck obstruction encountered over a four-year period were reviewed, including difficult cases of bladder neck dysfunction and nonobstructive ureteral reflux. The condition of 90% of the patients was improved and controlled by conservative means, ie, mainly urethral dilations and prolonged medication. Of those with reflux, 50% required surgical intervention. Ureteroplasty should be reserved only for those patients with reflux which is accompanied by uncontrollable infection and dilated ureters, patients in whom obvious ureteral obliquity has been lost. Cineradiography with its visual demonstration of the anatomy and physiology of the urinary tract has solved many perplexing problems and its more widespread use is recommended. In cases of severe renal damage with tortuous, dilated ureters, early uretero-ileal conduit should be performed.

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