title: [Primary isolated vesico-ureteral reflux in children].
abstract: The advantages, complications or sequelae of surgical treatment of primary vesico-ureteral reflux in children are discussed in the light of 382 cases operated upon between 1971 and 1984. Changes in ideas on the fate of primary reflux and its consequences make it necessary to modify our therapeutic strategy, as shown by a study of our records and an exhaustive review of the literature. As a result, we suggest that reflux into a non-dilated ureter should not be operated, whereas reflux into a widely dilated ureter requires surgery. The operation should take place at an early stage in cases with severe renal lesions with pronounced radiological and biochemical alterations. In children with reflux of medium severity, the decision to operate or treat medically must rest on such criteria as age and severity, frequency and resistance of episodes of urinary infection, radiological and endoscopic data and signs of renal tissue functional damage.
mesh_terms: D002648:Child; D002675:Child, Preschool; D004108:Dilatation, Pathologic / Q000601:surgery; D006801:Humans; D007223:Infant; D011183:Postoperative Complications; D012307:Risk Factors; D013997:Time Factors; D014513:Ureter / Q000601:surgery*; D014515:Ureteral Diseases / Q000601:surgery; D014718:Vesico-Ureteral Reflux / Q000175:diagnosis / Q000601:surgery* / Q000628:therapy
vernacular_title: Le reflux vésico-urétéral primitif isolé de l'enfant.