[Vesico-ureteral reflux in childhood].

Abstract

After having reviewed the anatomy and physiology of vesicoureteral reflux, the authors claim that in the case of appropriate indication and technique of the operation good results can be expected of plastic surgery. They stress that the indications of the operations for obstructed reflux have considerably narrowed. Conservative treatment beside long-term disinfection of the urine and removal of the focus results in the majority of cases--mainly when the patients are small children--, in the abolishment of vesico-ureteral reflux. In about 50% of the discovered refluxes surgical intervention is necessary, but also in these cases the administration of antibiotics is indispensable.