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Vesico-ureteral reflux in non-paediatric patients
Scandinavian Journal of Urology and Nephrology
|January 1, 1980
Summary
Early surgical correction of vesico-ureteral reflux (VUR) in adults and adolescents is crucial. Prompt treatment prevents progressive kidney damage and improves patient outcomes.
Area of Science:
- Urology
- Pediatric Nephrology
Background:
- Vesico-ureteral reflux (VUR) is a condition affecting renal units, often presenting in adolescence or adulthood.
- Primary VUR frequently has childhood origins, with many patients exhibiting pre-existing renal damage.
Purpose of the Study:
- To evaluate the efficacy of surgical re-implantation for vesico-ureteral reflux (VUR) in adolescent and adult patients.
- To assess the impact of VUR on renal health and the benefits of early intervention.
Main Methods:
- Surgical re-implantation (Politano-Leadbetter technique) was performed on 75 ureters in 74 patients (55 female, 19 male) between 1968-1975.
- Radiologic nephropathy was assessed in relation to VUR degree and type (primary, secondary, mixed).
Main Results:
- Re-implantation achieved an 88% success rate in stopping VUR, resolving symptoms and bacteriuria.
- Moderate reflux showed 62% nephropathy; gross reflux had 89% nephropathy.
- Infravesical surgery or antibiotics alone were less effective than re-implantation.
Conclusions:
- Surgical re-implantation is highly effective for treating VUR in adolescents and adults.
- Early diagnosis and treatment of VUR are essential to prevent irreversible renal damage and preserve kidney function.