Inflammatory cell infiltrate in distal ureteral segments from patients with reflux.
A total of 110 reimplanted ureters from 61 patients were examined by light microscopy. Twenty-four distal segments from nonrefluxing ureters were used as control group. Overall, 55 of 110 specimens (50%) had inflammatory cell infiltrates (ICI) consisting of lymphocytes and plasma cells in the submucosa and adjacent muscularis. Forty-five ureters (82%) had mild ICI, and 10 ureters (18%) had moderate or severe ICI only in patients with history of infection. ICI increased with grade of reflux in both infected and noninfected groups. Of 75 ureters (68%) from patients with history of infection, 45 (60%) had ICI. Ten of 35 ureters (29%) from patients without history of infection had ICI. A causal relationship between reflux and ICI remains speculative and needs further study.
Department of Urology, State University of New York, Buffalo.
H T
HT
Josifidis
A R
AR
Khan
P
P
Montgomery
S P
SP
Greenfield
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007249:Inflammation / Q000473:pathology; D008214:Lymphocytes / Q000473:pathology*; D008297:Male; D009092:Mucous Membrane / Q000473:pathology; D010950:Plasma Cells / Q000473:pathology*; D014513:Ureter / Q000473:pathology*; D014552:Urinary Tract Infections / Q000473:pathology; D014718:Vesico-Ureteral Reflux / Q000473:pathology*