[Vesico-renal reflux in adults (author's transl)]

This article is based on an analysis of 88 cases of vesico-renal reflux, 43 primary and 45 secundary ones. The author consider successively the clinical, bacteriological, radiological and endoscopical facts and their relations to the different types of reflux. They emphasize the frequency and the gravity of the primary reflux in adults and its probable connection with the genesis of the non-obstructive pyelonephrities and the unilateral renal atrophies. Its noxioness is primarily connected with the infection. The secundary reflux, however, even infected, is relatively well tolerated in adults. In case of primary vesico-renal reflux the therapeutical conduct has to be extremely well suited. A surgical correction should only be considered if the kidney has satisfactorily maintained its fonction and if the tonicity of the excreting ways is still good enough. In case of secundary reflux, the therapeutical conduct depends first of all on the etiology. In the group of primary reflux 11 patients derived benefit from ureteral reimplantation; whereas in the group of secundary reflux only 5 patients were submitted to an operation. The method applied was that of Paquin.