[Importance of unrecognized bladder lesions in the long-term results of antireflux reimplantation in "primary" supposed vesico-ureteral reflux].
Based on two cases of antireflux uretero-vesical reimplantation for so-called primary reflux and a normal lower urinary tract, the author demonstrates the possible occurrence of major secondary bladder lesions. These lesions seriously compromise the results of reimplantation, sometimes even after an initial success (case 1). The etiology of these bladder lesions remains poorly defined: occult neurological lesions? iatrogenic lesions? Their treatment is difficult and their prognosis is poor.
Viville
C
C
Service d'Urologie, Clinique Béthesda, Strasbourg.
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D011859:Radiography; D012092:Replantation / Q000009:adverse effects*; D014513:Ureter / Q000601:surgery; D001743:Urinary Bladder / Q000601:surgery; D001745:Urinary Bladder Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D014546:Urinary Catheterization; D014718:Vesico-Ureteral Reflux / Q000601:surgery*
Le poids des lésions vésicales méconnues dans les résultats lointains des réimplantations antireflux pour reflux vésico-urétéral supposé "primitif".