Sen S, Ahmed S. Management of vesico-ureteric reflux in myelodysplasia neurogenic bladder.
THE AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY 1988;
58:639-42. [PMID:
3178603 DOI:
10.1111/j.1445-2197.1988.tb07574.x]
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Abstract
During the period 1978-87, 22 patients with myelodysplasia had surgery for vesico-ureteric reflux (VUR) and seven patients with VUR were managed non-operatively. Clean intermittent catheterization was an integral part of the management in both the operated and non-operated cases. The majority of patients had reflux-related upper tract changes pre-operatively, but after operation the urinary tract was stabilized in all but one kidney which was lost. Transverse advancement ureteric reimplantation or the pull-through technique provided satisfactory results, giving a total of 29 refluxing units managed surgically.
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