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Vesicoureteric Reflux Following Renal Transplantation: a Simple Method of Ureteric Implantation
Author(s) -
MITTERDORFER A. J.,
WILLIAMS GORDON,
CASTRO J. E.
Publication year - 1981
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1981.tb03146.x
Subject(s) - cystography , vesicoureteric reflux , reflux , medicine , vesicoureteral reflux , urology , urinary system , transplantation , incidence (geometry) , surgery , kidney transplantation , cystourethrography , ureter , physics , disease , optics
SUMMARY— We have used a simple method of ureteroneocystostomy in renal transplant patients. This entails a no‐tunnel “drop‐in” with a long free segment protruding into the bladder lumen. The incidence of vesicoureteric reflux was investigated in 81 transplant patients who had a follow‐up period ranging from 4 months to 1 5 years (mean 3.7 years); 29 of these patients had recurrent urinary tract infections. Micturating cystography demonstrated reflux in 6 patients (7.4%). In these 6 patients the presence of reflux had no deleterious effect on renal function and the infections were easily controlled with long‐term antibiotics. In the 52 patients without urinary infection no reflux was demonstrated. The conclusions based on this study indicate that1 in the absence of recurrent infection there are no indications for micturating cystography and 2 this method of ureteroneocystostomy is expedient and has a low incidence of reflux.