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Related Experiment Videos

Concentrating ability after antireflux operation

D T Uehling, J B Wear

    The Journal of Urology
    |July 1, 1976
    PubMed
    Summary
    This summary is machine-generated.

    Assessing children after reflux surgery requires evaluating functional, bacteriological, and radiologic outcomes. Concentrating ability is a sensitive short-term indicator, with ureteral reimplantation showing no persistent reflux but a 7% obstruction rate.

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    Area of Science:

    • Pediatric Surgery
    • Urology
    • Nephrology

    Background:

    • Surgical correction of reflux in children necessitates comprehensive assessment.
    • Evaluating functional, bacteriological, and radiologic outcomes is crucial for patient care.

    Purpose of the Study:

    • To assess short-term and long-term outcomes of surgical reflux correction in pediatric patients.
    • To determine the efficacy of concentrating ability as a sensitive indicator compared to creatinine clearance.
    • To report the results of ureteral reimplantation procedures in children.

    Main Methods:

    • Retrospective analysis of 59 ureteral reimplantations in 36 children.
    • Short-term assessment using concentrating ability and creatinine clearance.
    • Long-term evaluation of functional, bacteriological, and radiologic results.

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    Main Results:

    • Concentrating ability emerged as a more sensitive short-term indicator of surgical benefit or harm than creatinine clearance.
    • No cases of persistent reflux were observed post-surgery.
    • A 7% obstruction rate was recorded following ureteral reimplantation.

    Conclusions:

    • Concentrating ability is a valuable short-term metric for assessing outcomes after pediatric reflux surgery.
    • Ureteral reimplantation demonstrates favorable outcomes regarding persistent reflux.
    • Monitoring for obstruction is essential after ureteral reimplantation in children.