[Gil-Vernet transvesical antirefluxplasty. Initial clinical experiences]

Our results in 18 cases with the Gil-Vernet technique of surgical correction of vesicoureteral reflux are presented. The ureteral orifices are advanced across the trigone by means of a single submucosal mattress suture in order to increase the intramural length of each distal ureter. The new procedure offers some advantages to the more widely applied techniques. It is rapid and simple to perform and the intrinsic and extrinsic musculature of the terminal ureters is preserved. This technique can be used indiscriminately in cases of primary unilateral or bilateral reflux, including grades II to IV.