CONTRALATERAL VESICO-URETERAL REFLUX
AFTER UNILATERAL ANTIREFLUX OPERATION IN CHILDREN
Article published in Urologia Polska 1997/50/3.
authors
-
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
keywords
-
ureters children one side antireflux operations contralateral reflux treatment
summary
- 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.
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