1984 Volume 75 Issue 5 Pages 807-814
Eighty-nine previously unoperated patients underwent anti-refux ureteroneocystostomies for 136 ureters since April 1977 to July 1983. Of them 65 patients were with VURs, 15 with non refluxing megaureters, 5 with ureteroceles and 4 with ectopic ureters. Excellent results were obtained after the operations in 93.8% of patients with VURs, 93.3% with megaureters and 77.7% with ureteroceles and ectopic ureters.
The second anti-reflux ureteroneocystostomies were performed on 11 patients with complications, of whom 6 underwent the previous operation in our hospital after April 1977, 3 were operated before March 1977 and 2 patients were operated previously elsewhere. Postoperative complications consisted of VUR in 10 patients and obstructive ureterovesical junction in one case. Untreated bladder hyperreflexia seemed to be a contributing factor for the appearance of postoperative VUR in children. Excellent results were attained in all these patients by the second operation, primarily with the technique of transverse reimplantation (Cohen 1975 and/or Ahmed 1978).
