[Surgery of vesico-ureteral reflux: outcome for the nonrefluxing side]

Thirty seven patients have been hospitalized for vesico-ureteral reflux (VUR) at the Clinique Urologique de l'Hôpital Cochin between january 1978 and december 1982. Sixteen unilateral VUR have been treated by conservative surgery; in 14 cases the rebuilding of the uretero-vesical (UV) junction has been unilateral, twice a reflux appeared at the controlateral UV junction after operation. The case for bilateral surgery in an apparently unilateral VUR is discussed. As a rule, we only perform surgery on UV junction units with a documented reflux (even once and even long ago).