[Late postoperative results of anti-reflux ureterocystoneostomy]

Presented are the postoperative results of 13 of the 15 operations on the urethrovesicular junction. Most (8) were treated by the Politano-Leadbetter method; three (3) by Cohen, and two (2) by the Swinney-Avata modification of the Politano-Leadbetter method which is described and shown schematically. Reasons for applying these treatments were stenosis of various origins localized in the terminal part of the urethra, gynecological damages to the urethra ("iatrogenic" injuries), displacement of the urethra, vesicular-urethral reflux, and megaurethra. At check-ups from 3 months to 6 years after the operation, 84.6% of the operations proved successful. In comparison with 18 operations for the same reasons in which an ordinary reimplantation of the urethra was performed, the former is 12.3% better. The Cohen operations achieved good results. However, should the need arise later, it is impossible to perform retrograde manipulations of the urethra with a probe in the usual way. Thus the authors ascribe the advantages to those operations that can develop naturally with the reimplantation of the submucous membrane of the urethra.