Delayed spontaneous resolution of high grade vesicoureteral reflux after reimplantation.
Significant (grade III/V or greater, International Reflux Study) postoperative vesicoureteral reflux was noted in 4 children who underwent technically satisfactory ureteral reimplantation. All patients had moderate to severe preoperative ureteral dilatation necessitating ureteral tapering in 3 of the 8 ureters reimplanted. Reoperation was considered in all 4 children but a conservative approach was used, with subsequent spontaneous resolution of the reflux 19 to 55 months after reimplantation. We conclude that even high grade reflux after satisfactory reimplantation can resolve spontaneously.
Siegelbaum
M H
MH
St. Christopher's Hospital for Children, Temple University Health Sciences Center, Philadelphia, Pennsylvania.
Rabinovitch
H H
HH
D002675:Child, Preschool; D006801:Humans; D007223:Infant; D011183:Postoperative Complications / Q000175:diagnosis*; D012075:Remission, Spontaneous; D012092:Replantation; D013997:Time Factors; D014513:Ureter / Q000601:surgery*; D014518:Ureterocele / Q000601:surgery; D014718:Vesico-Ureteral Reflux / Q000175:diagnosis* / Q000601:surgery