[The vesico-ureteric-renal reflux in adults (author's transl)]

This is a report about 59 adults (6 men and 53 women) from 15-45 years of age with 79 refluxing ureters and renal units. In 76% an antireflux procedure could be performed to preserve the kidney. 65% of the refluxing ureters were operated on according to the technique of Politano-Leadbetter and 35% according to the technique of Lich/Grégoir. After the operations of Politano/Leadbetter recurrences occurred in 4,6% and complications in 5,1%. The technique of Lich-Grégoir showed more unfavourable results: recurrences in 14% and complications in 9,5%. Therefore the procedure of Lich-Grégoir is not to be recommended in adults. It should however be reserved for the refluxes in children because of the favourable results.