PTU - Polskie Towarzystwo Urologiczne
list of articles:

Article published in Urologia Polska 1997/50/3.


Mieczysław Fryczkowski, Andrzej Paradysz, Zofia Krauze-Balwińska, Jacek Huk
Katedra i Klinika Urologii ¦AM w Zabrzu
Kierownik Kliniki: prof. dr hab. n. med. M. Fryczkowski


ureters children one side antireflux operations contralateral reflux treatment


Objective. The aim of the study was to analizę the risk factors of contralateral
vesico-ureteral reflux after unilateral antireflux operation in children.
Material and method. 25 children with contralateral vesico-ureteral reflux
after unilateral antireflux operation were observed (7.6% of operated patients).
Risk factors such as: age, sex, side of operation, status of the kidney, urinary
tract infection, type of operation and others simultaneous congenital anomalies
of the urinary tract were analysed.
Results. It was estimated that this complication more fre±uently occured in
children between 4-7 years of age, in duplicated ureters, in urinary tract
infection, after Politano-Leadbetter and Hendren operation.
Conclusion. The possibility of contralateral vesico-ureteral reflux after
unilateral antireflux operation should be kept in mind. When in doubt bilateral
antireflux operation should be performed. The vast majority of complications
can be cured by conservative or endoscopic methods during 2.5 years.


  1. [1] De-Sy, W., Osterlinch, W.: Reintewention for complications after antireflux
  2. surgery. Eur. Urol, 1978, 4, 21.
  3. [2] Flack, Ch. E., Bellinger, M. F.: The multucystic dysplastic kidney and contra-
  4. lateral vesicoureteral reflux: Protection of the Solitary kidney. J. Urol, 1993,150,
  5. 1873.
  6. [3] Gerhart, J. P, Leonard, M. P: Reoperative ureteral reiplantation. Strategies
  7. for management. J. Ped. Surg., 1991, 26, 58.
  8. [4] Hjalmas, K., Lohr, G., Tamminen-Mebus, T.: Surgical results in thelnterna-
  9. tional Reflux Study in children (Europa). J. Urol., 1992, 148, 1657.
  10. [5] Kleiner, B., Tilly, R. M., Mock, L., Callen, P W.: Multicystic dysplastic
  11. kidney obseruations of contralateral disease in the fetal population. Radiology,
  12. 1986, 151, 27.
  13. [6] Mesrobion, H. G., Kramer, S. A., Kelalis, P. R: Reoperative ureterocystoneo-
  14. stomy. Review of 69 patients. J. Urol., 1985, 133, 388.
  15. [7] Noe, H. N.: The role of dysfunctional voiding in failure or complication of urete-
  16. ral reimplantation for primary reflux. J. Urol., 1985, 133, 1172.
  17. [8] Perrot, T. S., Woodard, J. R.: Reflux in opposite ureter after successful correc-
  18. tion of unilateral vesicoureteral reflux. Urology, 1975, 7, 276 .
  19. [9] Quinlon7 D., 0'Donnell, B.: Unilateral ureteric reimplantation for primary
  20. vesicoureteral reflux in children. A policy re-evaluatio. Brit. J. Urol., 1985, 57,
  21. 406.
  22. [10] Ross, J. H., Kay, R., Nasrallah, P.: Contralateral reflux after unilateral reim-
  23. plantation in patients with a history of resolved contralateteral reflux. J. Urol.,
  24. 1995, 154, 1171.
  25. [11] Warren, M. M., Kelalis, P. P., Stickler, G. B.: Unilateral ureterocystoneo-
  26. stomy. The fate of the unilateral ureter. J. Urol., 1972, 107, 466.