[Our experiences in the surgical treatment of vesico-ureteral reflux]

In the years 1995-1997 18 patients (20 ureters) were treated by modified Lich Gregoir's technique for vesicoureteral reflux. In this group 3 children had neurogenic bladder. The age of the patients was 2-18 years, on an average 10 years. In the group of operated ureters there were three with reflux grade II, six-grade III, eight-grade IV and three-grade V. Postoperative period was uneventful in all cases. Control imaging studies (voiding cystourethrography and intravenous pyelography) were done after 8-18 months. These studies were performed in 15 patients. In 14 cases complete resolution of the reflux was found and in one case the improvement from grade III to I. No operated child had stricture of the ureterovesical junction and urinary retention in upper urinary tract. In our opinion extravesical modified Lich-Gregoir's antireflux procedure is effective method, with low probability of complication and less aggressive for patients in comparison to intravesical procedures.