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Endoscopic Treatment of Vesicoureteric Reflux

  • B. O’Donnell
  • P. Puri
Chapter
  • 84 Downloads
Part of the Clinical Practice in Urology book series (PRACTICE UROLOG)

Abstract

Vesicoureteric reflux is a common problem and has been shown to be present in 30%-50% of children with urinary tract infection (International Reflux Study Committee 1981). Severe vesicoureteric reflux is recognised as an important cause of end-stage chronic renal failure in early adult life (Bailey 1981; Bailey and Lynn 1984). The management of reflux is in itself controversial. It is widely agreed that reflux in undilated ureters (grade I or II in the international classification) disappears over a period of years in more than 80% of ureters (Edwards et al. 1977), though a small proportion of these kidneys may develop scarring during the regression. Until recently, patients with these lesseer degrees of reflux were managed by continuous low-dose chemoprophylaxis until the reflux had disappeared. On the other hand, higher grades of reflux in whom ureteral and pelvicalyceal dilatation is present (grades III, IV and V in the international classification) are less likely to cease refluxing spontaneously (International Reflux Study Committee 1981).

Keywords

Urinary Incontinence Vesicoureteric Reflux Urologic Surgery Ureteric Catheter Ureteric Orifice 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 1988

Authors and Affiliations

  • B. O’Donnell
  • P. Puri

There are no affiliations available

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