H N Noe1. 1. LeBonheur Children's Medical Center and University of Tennessee, Memphis, USA.
Abstract
PURPOSE: A population of patients undergoing unilateral antireflux surgery for simple primary reflux was studied to determine the rate and possible mechanism of new onset contralateral reflux postoperatively. MATERIALS AND METHODS: A total of 107 patients with simple primary reflux were evaluated as to the surgical outcome, possible risk factors and appearance of new contralateral reflux. RESULTS: Contralateral reflux appeared in 7% of this study population, and 3% ultimately had the contralateral ureter reimplanted. Risk factors appear to include younger age at initial repair, number of cystograms performed and presence or development of dysfunctional voiding. CONCLUSIONS: New contralateral reflux following unilateral reimplantation has a low incidence. Risk factors exist that when controlled or treated might even further lower the incidence of contralateral reflux and improve treatment outcome.
PURPOSE: A population of patients undergoing unilateral antireflux surgery for simple primary reflux was studied to determine the rate and possible mechanism of new onset contralateral reflux postoperatively. MATERIALS AND METHODS: A total of 107 patients with simple primary reflux were evaluated as to the surgical outcome, possible risk factors and appearance of new contralateral reflux. RESULTS: Contralateral reflux appeared in 7% of this study population, and 3% ultimately had the contralateral ureter reimplanted. Risk factors appear to include younger age at initial repair, number of cystograms performed and presence or development of dysfunctional voiding. CONCLUSIONS: New contralateral reflux following unilateral reimplantation has a low incidence. Risk factors exist that when controlled or treated might even further lower the incidence of contralateral reflux and improve treatment outcome.
Authors: Katherine C Hubert; Paul J Kokorowski; Lin Huang; Michaella M Prasad; Ilina Rosoklija; Alan B Retik; Caleb P Nelson Journal: J Urol Date: 2013-09-06 Impact factor: 7.450