[Operative therapy of a refluxing double ureter in childhood]

Surgical methods for repairing the bilateral vesico-ureteral reflux have to be adapted to the pathomorphological and pathodynamic variety of refluxing ureters. Ureteroureterostomy can be performed in the cranial section of the ureter in order to check the local situation of the kidney and its macroscopic structure. But the distal localisation of the uretero-ureteral anastomosis proves to be favourable too. The operation according to Politano-Leadbetter is the method of choice to correct the reflux. It is only in therapy-resistent pyuria with decompensation of the kidneys that temporary supravesical urine-derivation has turned out to be an advantage because the possibility of organ-conservation by surgery later is still preserved.