Renal growth and operative correction of severe vesicoureteral reflux in children.
We report about 32 operated children with 40 complicated refluxes. 10 of the operated children suffered from double kidneys with double ureters. We examined these children before and 3 years after the operation. The data were registrated according to the recommendations of Jacobsson, Claesson, Olsson and Ringertz. We operated on 22 children because of 30 complicated refluxes, 20 out of the 30 measured kidneys showed normal data before the operation, 8 of these 20 kidneys developed normally after the operation, 12 times this was not the case. However, all of these unsatisfactory or worsened data were within the standard deviation. In this group pathological values were not found. Among 10 out of 30 renal units which were out of the standard deviation, when measured before the operation, 3 kidneys improved and showed data within standard deviation after the operation. 7 kidneys continued to have pathological data, all out of the standard deviation. 2 of these 7 afflicted kidneys showed even worse values after the operation in comparison to the preoperative pathological values.
D002648:Child; D002675:Child, Preschool; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007668:Kidney / Q000254:growth & development* / Q000473:pathology; D014718:Vesico-Ureteral Reflux / Q000150:complications / Q000601:surgery*