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Related Experiment Videos

Vesicoureteric reflux and ureterovesical obstruction

P Kesavan, R Fowler

    Urology
    |August 1, 1977
    PubMed
    Summary

    This study highlights an uncommon dual condition of ureteral reflux and obstruction in 8 of 40 reimplanted ureters. Early surgical correction is crucial for this combined issue, differing from reflux alone.

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    Area of Science:

    • Urology
    • Pediatric Surgery

    Background:

    • Ureteral reflux is a common condition often managed surgically.
    • Obstruction in the ureter can occur independently or alongside reflux.
    • The combination of reflux and obstruction presents unique diagnostic and management challenges.

    Purpose of the Study:

    • To describe an unusual combination of ureteral reflux and obstruction.
    • To identify mechanical factors contributing to this dual pathology.
    • To emphasize the need for early recognition and surgical correction.

    Main Methods:

    • Analysis of 40 unduplicated ureters reimplanted for reflux.
    • Identification and characterization of mechanical obstructing factors.
    • Comparison of pathological mechanisms for obstruction and reflux.

    Main Results:

    • Eight out of 40 reimplanted ureters demonstrated an unusual combination of reflux and obstruction.
    • Mechanical obstruction was primarily extravesical, not intravesical.
    • Separate pathological mechanisms were postulated for obstruction and reflux.

    Conclusions:

    • The co-occurrence of ureteral reflux and obstruction is more frequent than typically recognized.
    • This combined condition requires prompt surgical intervention.
    • Management differs significantly from cases of isolated ureteral reflux.

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