Extravesical Ureteroplasty

Treatment and Prevention of Complications after Extra vesical Antireflux Technique

“…Also well defined is the need of systematical search for VUR in children who present chronic and/or recurrent urinary tract infection. Even though the role of urinary tract infection in the pathogenesis of VUR has not yet been completely clarified, the final result of nontreated cases is chronic pyelonephritis (2). The treatment of primary VUR, however, continues to be a matter of controversy, i.e., the role of antireflux tech niques through the various methods available (6).…”

“…Only long-term fol low-up of an adequate number of patients, selected ac cording to the same criteria, can bring some insight to the role of surgical treatment in the prevention of chronic pyelonephritis in patients presenting VUR. The results after surgical treatment have been considered satisfactory under all operative techniques employed (2,8), however, complications still continue to occur, such as: obstruc tions, persistent VUR, reflux on the contralateral side, and fistulae.…”