title: [Value of the distal urethrotomy in girls with infravesicular obstruction and vesico-ureteral reflux].
abstract: In 43 girls with vesicoureteral reflux and subvesical obstruction (distal urethral stenosis) a urethrotomy was performed as primary treatment. Vesicoureteral reflux was cured by this in 53.5% after a mean control period of 6 months. In these cases the reflux proved to be related to the subvesical obstruction (secondary reflux). The obstruction can cause the decompensation of partially competent vesico-ureteral junctions. The success of urethrotomy depends on the grade of the reflux as well as on the pathology of the ureteral orifice. In persisting cases of reflux a coincidence of subvesical obstruction and primary vesicoureteral reflux has to be discussed, requiring further operative treatment.
mesh_terms: D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D011183:Postoperative Complications / Q000209:etiology; D014521:Urethra / Q000601:surgery*; D014525:Urethral Stricture / Q000601:surgery*; D014563:Urodynamics; D014718:Vesico-Ureteral Reflux / Q000601:surgery*
vernacular_title: Die Wertigkeit der distalen Urethrotomie bei Mädchen mit infravesikaler Obstruktion und vesiko-ureteralem Reflux.