title: [Reflux persisting into adulthood. A clinical study].
abstract: 1. Incidence: about 1/10 of all cases; 9/10 mature with/without scarring, even in the case of complicated reflux. 2.
  
  
  METHODS
  onset after age of 16; prior to this clinical silence or minimal symptomatology. 3. Grading and staging: all of them may persist, low as well as high stages; scarring usually progressing; Grade I reflux and Stage III scarring often occur together. 4.
  
  
  BACKGROUND
  female: rare between age of 10 and 15, as the bladder has become stable, later on frequent again due to new instability caused by sexual activity. 5.
  
  
  METHODS
  a. Conversion of complicated reflux into uncomplicated reflux (infravesical relief of obstruction). b. Antirefluxiv operation when urinary tract infections recur and the kidney is worth saving. c. Extirpative operation when unilateral hypertension or grave renal scarring. 6.
  
  
  CONCLUSIONS
  depends on uni-/bilaterality. 7. Operative results (Gregoir): good in cases of primary reflux, discouraging in cases of complicated reflux.
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy; D011379:Prognosis; D011704:Pyelonephritis / Q000601:surgery; D014567:Urography; D014718:Vesico-Ureteral Reflux / Q000150:complications / Q000175:diagnosis* / Q000601:surgery
vernacular_title: Der ins Erwachsenenalter persistierende Reflux. Eine klinische Studie.