PTU - Polskie Towarzystwo Urologiczne
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Contralateral vesicoureteral reflux after unilateral ureteroneocystostomy in children
Article published in Urologia Polska 2003/56/2.


Adrianna Grabowska, Anna Maria Grabowska, Ewa Andrzejewska
Klinika Chirurgii i Onkologii Dziecięcej, Instytut Pediatrii Uniwersytetu Medycznego w Łodzi
Kierownik kliniki: dr hab. Ewa Andrzejewska


vesicoureteral reflux, ureteroneocystostomy, diagnostics, complications, recurrence, children


Introduction. Vesicoureteral reflux (TOR) is a frequent problem in children and it often needs an operative treatment. From the review of literature it is known, that at about 10% of children who underwent unilateral ureteroneocystostomy contralateral VUR occurs.
Objective. We reviewed our experience with contralateral VUR following unilateral ureteroneocystostomy.
Patients and methods. We retrospectively identified 43 children who underwent ureteroneocystostomy due to unilateral VUR in the Department of Pediatric Surgery and Oncology of the Institute of Paediatrics of Łódź University School of Medicine.
Results. In this group contralateral TOR alter unilateral ureteroneocystostomy was found in 5 of 43 children. In all children newly diagnosed VUR was oflow grade and it passed after conservative treatment.
1. There is the similar frequency of contralateral VUR after unilateral ureteroneocystostomy in the analysed material to the another authors\' experiences.
2. Children after the operative treatment of VUR should be regularly examined clinically and radiologicaly in order to detect recurrence of VUR. to detect contralateral TOR following unilateral urelcroncoeystoslomy or to detect progressive lesion of kidneys.
3. Contralateral VUR Mowing successful unilateral ureteroncocysloslomy is usually n grade and passes after conservative treatment.


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Adrianna Grabowska
Klimka Chirurgii i Onkologii Dziecięcej
Instytut Pediatrii Uniwersytetu Medycznego
ul. Sporna 36/50
91-738 Łódź
tel.: (0-42) 656 25 52 fax: 656 18 74