Abstract
Gross bilateral vesicoureteric reflux (VUR) was noted 1 year after pull-through ureteric reimplantation in a patient with posterior urethral valves. At reoperation, satisfactory ureteric submucosal tunnels were noted. It was surmised that the persistent VUR was due to bladder non-compliance, which was managed by bladder autoaugmentation (partial detrusor excision). Follow-up for 4 years showed a satisfactory result with resolution of the VUR, stable renal function, and a compliant bladder. Bladder autoaugmentation is an attractive alternative to the more complex augmentation procedures for non-compliant posterior urethral valve bladders.
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References
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Ahmed, S. Bladder autoaugmentation (partial detrusor excision) for postoperative vesicoureteric reflux in a patient with posterior urethral valves. Pediatr Surg Int 10, 418–419 (1995). https://doi.org/10.1007/BF00182246
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DOI: https://doi.org/10.1007/BF00182246