[Antireflux-plasty in neurogenic bladder-emptying disorders]

14 patients (20 ureter units) with neurogenic bladder and reflux in the upper urinary tract were treated with antireflux procedures. In general, ureterocystoneostomies according to the method of Cohen, 2 to that of leadbetter-Politano, and 1 according to the technique of Glenn-Anderson were performed. Infravesical obstruction, high intravesical pressure, and low bladder capacity have to be treated before an antireflux operation is done. The purpose of the antireflux procedure is to prevent reflux nephropathy and to restore urinary continence, by performing intermittent sterile self-catheterization and implantation of an artifical sphincter. Urinary diversion is seldom necessary.