Results of surgical treatment of severe vesicoureteric reflux. Retrospective study of reflux grades 4 and 5.
A series of 80 children underwent surgery in the Sophia Children's Hospital for gross reflux grades 4 and 5. In this retrospective study the success rate for ureteric reimplantation was 90%. Analysis of growth showed that after surgery the children tended to fall within the normal ranges for height and weight. Deterioration in renal function was progressive in 3 children. New renal scars developed in 13% of renal units. Initially non-refluxing kidneys showed no further deterioration. Moderate hypertension was found in only 4 patients.
Jansen
H
H
Department of Paediatric Urology, Sophia Children's Hospital, Rotterdam, The Netherlands.
Scholtmeijer
R J
RJ
D000293:Adolescent; D001827:Body Height; D001835:Body Weight; D002648:Child; D002675:Child, Preschool; D003401:Creatine / Q000097:blood; D003404:Creatinine / Q000097:blood; D005260:Female; D006801:Humans; D006977:Hypertension, Renal / Q000209:etiology; D007223:Infant; D007674:Kidney Diseases / Q000209:etiology; D008297:Male; D011183:Postoperative Complications / Q000097:blood; D012092:Replantation; D012189:Retrospective Studies; D014513:Ureter / Q000601:surgery; D014718:Vesico-Ureteral Reflux / Q000150:complications / Q000601:surgery*
D003404:Creatinine; D003401:Creatine