[Secondary vesico-ureteral reflux in the adult age]

The transurethral dehiscence of the ostium is a therapeutic method which causes the spontaneous passage of incarcerated intramural ureteroliths. However, it may be performed only in the centre of the roof of the ureter to a maximum length of 0.5 cm. With lateral indentation the antireflux principle of the ostia of the ureters is abolished by damaging the reins of the intravesical musculature of the ureters. An asymptomatic reflux necessarily becomes a reflex disease, when it is complicated by an infection of the urinary tract. In secondary vesico-ureteral reflux by dehiscence of the ostium at adult age the indication to the operative treatment shall be made narrowly, since with the sanation of the infection of the urinary tract the reflux often disappears.