Management of vesico-ureteric reflux in myelodysplasia neurogenic bladder.
During the period 1978-87, 22 patients with myelodysplasia had surgery for vesico-ureteric reflux (VUR) and seven patients with VUR were managed non-operatively. Clean intermittent catheterization was an integral part of the management in both the operated and non-operated cases. The majority of patients had reflux-related upper tract changes pre-operatively, but after operation the urinary tract was stabilized in all but one kidney which was lost. Transverse advancement ureteric reimplantation or the pull-through technique provided satisfactory results, giving a total of 29 refluxing units managed surgically.
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Department of Paediatric Surgery, Adelaide Children's Hospital, South Australia.
Ahmed
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D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D001750:Urinary Bladder, Neurogenic / Q000150:complications / Q000601:surgery*; D014718:Vesico-Ureteral Reflux / Q000150:complications / Q000601:surgery*