Reflux in cystoplasties

Rosalia Misseri, David H. Rosenbaum, Richard C. Rink

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

Vesicoureteral reflux is a commonly encountered condition in pediatric urology. The treatment of vesicoureteral reflux is debated in all patients. Much controversy exists regarding the need to reimplant refluxing ureters at the time of bladder augmentation, particularly in those patients with neuropathic bladders. In patients with neuropathic bladders, reflux may be the result of elevated detrusor pressure, recurrent/persistent urinary tract infections and/or a neuropathic dysfunction at the ureterovesical junction and the trigone. Treatment of VUR in patients undergoing bladder augmentation varies and includes routinely reimplanting all refluxing ureters, selectively reimplanting ureters with high-grade reflux or avoiding anti-reflux surgery in all patients regardless of the grade of reflux. We review the literature and our experience with the treatment of vesicoureteral reflux in patients that have undergone augmentation cystoplasty.

Original languageEnglish (US)
Pages (from-to)213-217
Number of pages5
JournalArchivos Espanoles de Urologia
Volume61
Issue number2
DOIs
StatePublished - Mar 2008

Keywords

  • Bladder augmentation
  • Neurogenic bladder
  • Vesicoureteral reflux

ASJC Scopus subject areas

  • Urology

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    Misseri, R., Rosenbaum, D. H., & Rink, R. C. (2008). Reflux in cystoplasties. Archivos Espanoles de Urologia, 61(2), 213-217. https://doi.org/10.4321/S0004-06142008000200015