Clinical evaluation of vesicoureteroneostomy. I. Efficacy of surgery in 65 cases (100 ureters) of primary vesicoureteral reflux

We have experienced 72 patients with primary vesicoureteral reflux (VUR) during the past 16 years. Sixty-five of them (100 ureters) were treated surgically to prevent reflux. Among the surgical methods employed, the Politano-Leadbetter method was the most frequent, being used in 56 patients (87 uret...

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Veröffentlicht in:Hinyokika kiyo. Acta urologica Japonica. - 1962. - 34(1988), 5 vom: 13. Mai, Seite 797-804
1. Verfasser: Saito, S (VerfasserIn)
Weitere Verfasser: Kumamoto, Y, Hirose, T, Tsukamoto, T
Format: Aufsatz
Sprache:Japanese
Veröffentlicht: 1988
Zugriff auf das übergeordnete Werk:Hinyokika kiyo. Acta urologica Japonica
Schlagworte:English Abstract Journal Article
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245 1 0 |a Clinical evaluation of vesicoureteroneostomy. I. Efficacy of surgery in 65 cases (100 ureters) of primary vesicoureteral reflux 
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520 |a We have experienced 72 patients with primary vesicoureteral reflux (VUR) during the past 16 years. Sixty-five of them (100 ureters) were treated surgically to prevent reflux. Among the surgical methods employed, the Politano-Leadbetter method was the most frequent, being used in 56 patients (87 ureters). Other methods were the combined method in 2 patients (three ureters), the Glenn-Anderson method in 1 (2 ureters), the Cohen method in 1 (1 ureter) and the Lich-Gregoir method in 5 patients (7 ureters). As postoperative complications in the early stage (within 1 month after surgery), remaining VUR in 1 ureter in 1 of the patients who underwent surgery by the Politano-Leadbetter method and occurrence of VUR on the contralateral side in 3 patients with unilateral VUR were encountered. These conditions disappeared during the follow-up period. On the other hand, in the late postoperative stage, ureteral stenosis requiring further surgery occurred in 1 ureter in the transitional region to the urinary bladder in 1 patient 2 months after surgery by the Lich-Gregoir method. The rate of success was all 87 ureters (100%) for the Politano-Leadbetter method and 6 out of 7 ureters (85.7%) for the Lich-Gregoir method. The success rates for the other procedures were also good, resulting in an overall rate of 99 out of 100 ureters (99.0%). Ninety-nine percent of the patients had been treated at least once preoperatively for pyelonephritis or fever of unknown etiology. Among these patients, those who had had 5 or more such episodes accounted for 39%.(ABSTRACT TRUNCATED AT 250 WORDS) 
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