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Infection of the urinary tract after anti-reflux surgery
The Journal of Pediatrics
|November 1, 1976
Insights
Anti-reflux surgery in children can reduce pyelonephritic scarring, which is linked to reflux severity. Postoperative infections mainly affected the bladder in female patients.
Area of Science:
- Pediatric surgery
- Urology
- Infectious disease
Background:
- Vesicoureteral reflux (VUR) is a common condition in children.
- VUR can lead to kidney scarring and infections.
- Anti-reflux surgery is a treatment option for VUR.
Purpose of the Study:
- To evaluate the outcomes of anti-reflux surgery in children.
- To assess the relationship between reflux severity and pyelonephritic scarring.
- To identify patterns of postoperative infections.
Main Methods:
- Retrospective review of 223 children who underwent anti-reflux surgery.
- Analysis of pyelonephritic scarring and postoperative infection rates.
- Correlation of outcomes with degree of preoperative reflux.
Main Results:
- Pyelonephritic scarring was more frequent with higher degrees of reflux.
- Postoperative infections were primarily lower urinary tract infections (bladder infections).
- Infections predominantly occurred in female patients.
Conclusions:
- Anti-reflux surgery demonstrates a beneficial effect in managing VUR.
- Risk of kidney scarring is associated with reflux severity.
- Surveillance for bladder infections in female patients post-surgery is warranted.
Abstract:
Two hundred twenty-three children who underwent anti-reflux surgery were evaluated. Pyelonephritic scarring was more apt to occur with greater degrees of reflux. Postoperative infection was principally confined to the bladder and occurred primarily in females. The beneficial effect of anti-reflux surgery is discussed.