Endoscopic Treatment of Vesicoureteric Reflux

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


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).


Urinary Incontinence Vesicoureteric Reflux Urologic Surgery Ureteric Catheter Ureteric Orifice 
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© Springer-Verlag Berlin Heidelberg 1988

Authors and Affiliations

  • B. O’Donnell
  • P. Puri

There are no affiliations available

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