title: [The operative treatment of primary vesicoureteral reflux in adults with the Politano-Leadbetter method (author's transl)].
abstract: The following is an account of the Politano-Leadbetter method of maintenance of 47 reflux ureters in 35 adults. In all cases the reflux is eliminated. Of the 26 controlled patients, 9 still experienced a continuance of ureter infection. With regard to the operative indications it is evident that the limit of serum creatinine may lie around 2.3 mg%. Higher values do not yield operative indications, the low secretion pressure and the disturbed ureteral dynamics of the implantation obstruct secretion which exaggerates the kidney insufficiency.
mesh_terms: D000293:Adolescent; D000328:Adult; D003404:Creatinine / Q000097:blood; D005260:Female; D005334:Fever / Q000209:etiology; D006801:Humans; D006977:Hypertension, Renal / Q000209:etiology; D008297:Male; D008875:Middle Aged; D011704:Pyelonephritis / Q000150:complications / Q000209:etiology; D013514:Surgical Procedures, Operative / Q000379:methods; D014513:Ureter / Q000601:surgery; D014718:Vesico-Ureteral Reflux / Q000150:complications / Q000175:diagnosis / Q000601:surgery*
chemical_list: D003404:Creatinine
vernacular_title: Die operative Behandlung des primären vesiko-ureteralen Refluxes (VUR) bei Erwachsenen mit der Methode nach Politano-Leadbetter