Antireflux operation for vesicoureteral reflux in spina bifida patients

HANDLE Open Access

Bibliographic Information

Other Title
  • 二分脊椎症例における膀胱尿管逆流防止術に関する考察

Search this article

Abstract

A series of 32 patients with spina bifida, representing 50 renal units with vesicoureteral reflux (VUR), was treated with antireflux operation. All but one patient underwent ureteral reimplantation with Cohen's technique. Another patient was treated with bilateral Politano-Leadbetter's technique. The overall success rates were 92.0% by renal unit and 87.5% by case, with a mean follow-up period of 42.5 months. These results were comparable to those in the recent literature. Failure included recurrence of VUR in 3 patients. Another patient who had undergone unilateral reimplantation developed new occurrence of reflux in the contralateral ureter. Possible masking of contralateral VUR should be taken into consideration in patients with unilateral high grade VUR. We also emphasize the importance of continuing clean intermittent catheterization in a proper manner to be free of VUR postoperatively.

Journal

  • Hinyokika Kiyo

    Hinyokika Kiyo 39 (8), 705-710, 1993-08

    泌尿器科紀要刊行会

Keywords

Details 詳細情報について

Report a problem

Back to top