Clinical Observation on Antireflux Procedure

Cheong, Seong Yeong; Lim, Soo Kil

Abstract

Clinical observation was made on 37 cases (41 ureter) who had beet performed antireflux procedure at Department of Urology from October 1, 1968 to July 31. 1973. Clinical observation was included age and sex distribution, indication for operation. operation site, method of operation, additional procedure, duration of indwelling ureteral splint catheter and complication. The results were as follows; 1. Antireflux procedure was performed for ureteral stricture, bladder tumor. kidney transplantation. megaloureter and ureterovesical reflux. 2. 38 ureters were performed with the method of Politano-Leadbetter procedure and 3 ureters with Paquia procedure. 3. Majority cases were required additional procedure suck as partial cystectomy, kidney translantation. ureteral tailoring. psoas hitch, nephrostomy and ileocystoplasty. 4. Mean duration of indwelling ureteral splint catheter was 3 days on antireflux procedure and 10 days on antireflux procedure with ureteral tailoring or ileocystoplasty. 5. Complication bad beet observed in 9 cases, which included acute pyelonephritis, ureterovesical reflux, sepsis, uremia, urine leakage and vesicocutaneous fistula.