Ureteroneocystostomy in the neuropathic bladder associated with high-grade reflux.
Between 1976 and 1987, a total of 25 ureteroneocystostomies were performed in 17 patients with neuropathic bladder associated with high-grade reflux III-V. An overall success rate of 82.4% is reported. Special complications included postoperative renal deterioration, especially after tapering of megaureters. During follow-up, contralateral reflux was noticed in 44% after unilateral treatment of reflux. Preoperative cystoscopy to define trigone abnormalities is mandatory.
Goerdin
A
A
Department of Urology, University Hospital, Ghent, Belgium.
Wyndaele
J J
JJ
De Sy
W A
WA
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D014513:Ureter / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery*; D001750:Urinary Bladder, Neurogenic / Q000150:complications / Q000601:surgery*; D014718:Vesico-Ureteral Reflux / Q000150:complications / Q000601:surgery*