Is There a Place for Reimplanting Ureters that Reflux?

  • Robert H. Whitaker
  • Philip G. Ransley
Part of the Clinical Practice in Urology book series (PRACTICE UROLOG)

Abstract

The decision whether or not to reimplant a ureter with reflux is often a difficult one and is frequently based more on “gut feelings” than on any scientific assessment. It is interesting to ask from basic principles why one should consider reimplanting the ureter. Either one is reimplanting a ureter to prevent scarring of the kidney, which is, of course, a good indication but probably rarely achieved, or one is trying to prevent illness in the child. It seems that, on occasions, one definitely improves the general health of the child with re-implantation of the ureter. Of course, the same improvement in health can be achieved with antibiotics, but they give no guarantee that the reflux will stop whereas, hopefully, after an operation there is a very real chance that the reflux will stop. With antibiotics, when the course is finished, a reimplantation may still be necessary.

Keywords

Creatinine Constipation DTPA Cystitis Hydronephrosis 

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References

  1. Ozen HA, Whitaker RH (1987) Does the severity of presentation in children with vesicoureteric reflux relate to the severity of the disease or the need for operation? Br J Urol 60: 110–112PubMedCrossRefGoogle Scholar
  2. Smellie JM, Ransley PG, Normand ICS, Precod N, Edwards D (1987) Development of new renal scars: a collaborative study. Br Med J 290: 1957–1960CrossRefGoogle Scholar
  3. Whitaker RH, Sherwood T (1987) Diagnostic pathways. Lancet 1: 1266PubMedCrossRefGoogle Scholar

Further Reading

  1. Corkery JJ (1988) Reimplantation—which child? In: Gingell C, Abrams P (eds) Controversies and innovations in urological surgery, Chapter 41. Springer-Verlag, HeidelbergGoogle Scholar
  2. Ransley PG (1982) Vesicoureteric reflux. In: Williams DI, Johnston JH (eds) Paediatric urology, 2nd edn. Butterworths, LondonGoogle Scholar
  3. Whitaker RH (1988) Reimplantation—which operation? In: Gingell C, Abrams P (eds) Controversies and innovations in urological surgery, Chapter 42. Springer-Verlag, HeidelbergGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1989

Authors and Affiliations

  • Robert H. Whitaker
  • Philip G. Ransley

There are no affiliations available

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