Management of Vesicoureteral Reflux

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Abstract
The retrospective analysis of 210 patients between 1 mo. 17 yr old with 314 primary vesicoureteral units with reflux was reviewed. There was a direct correlation between the grade of reflux and the percent of abnormal ureteral orifices. Medical management of low grade reflux produced successful results in 60%. Operation was highly successful in grades I, II and III reflux as opposed to grade IV. The distal tunnel (Glenn-Anderson) and Politano-Leadbetter procedures were equally effective in curing reflux. Postoperative urinary infection occurred equally in all grades and usually was confined to the bladder.