THE POLITANO-LEADBETTER ANTIREFLUX PLASTY - INVESTIGATION OF COMPLICATIONS IN 245 CHILDREN

From 1981 to 1988 245 children aged 2 months to 15 years underwent ure teral reimplantation in 326 renal units in our department. The VUR was primary in 180 patients (253 ureters) and 65 patients (73 ureters) sh owed associated pathologies. The follow-up program, including physical examination, urine sampling and isotope studies (including NMCU), was from 4 to 11 years after surgery. Intraoperative and early surgical c omplications were found in 29 cases, but no complications affected the late results, especially kidney function. Late complications have bee n observed in 15 cases, while in 10 cases reoperation because of persi stent reflux (n = 4) obstruction (n = 3) and loss of kidney function ( nephrectomy n = 3) was required. In 4 cases bladder stones required ES WL, and one patient developed hypertension.