Results of surgery for vesicoureteral reflux in children: 6 years' experience in an Asian country.
From January 1990 to December 1995, a total of 181 patients underwent reimplantation of 318 ureters for primary vesicoureteral reflux (VUR); 87.8% received bilateral reimplantation. Surgical indications included breakthrough infection (35%), high-grade (> or = IV) reflux (33%), or both (29%). The operative success rate was 99.4% at 3 months postoperatively and 100% ultimately. The complications included: contralateral sequential reflux in 3.9%, postoperative bladder diverticula in 1.1%, postoperative urinary infection in 1.1%, residual reflux in 0.3%, postoperative vesicoureteral stenosis in 0.3%, and slippage of the drainage tube in 0.3% of cases. Two patients had renal failure due to VUR that was proven by renal biopsy (one 4-year-old and one 8-year-old). The incidence of associated anomalies was higher than in the normal population. The average number of hospital admission days was 7.9 (3-63). After 1992, no ureteral stent was left in postoperatively. All patients received prophylactic antibiotics for 3 months postoperatively until the VUR disappeared. The surgical results were satisfactory in this series.
Sheu
J C
JC
Department of Pediatric Surgery, Mackay Memorial Hospital, Taipei, Taiwan, Republic of China.
Huang
Y H
YH
Chang
P Y
PY
Wang
N L
NL
Tsai
T C
TC
Huang
F Y
FY
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D012092:Replantation; D015607:Stents; D013624:Taiwan; D016896:Treatment Outcome; D014513:Ureter / Q000601:surgery; D014718:Vesico-Ureteral Reflux / Q000601:surgery*