VESICOURETERAL REFLUX AND SURGICALLY TREATED PELVI-URETERAL JUNCTION OBSTRUCTION IN INFANTS UNDER THE AGE OF 12 MONTHS

Background: Pelvi-ureteric junction obstruction has been increasingly diagnosed in infants, mostly as a consequence of antenatal ultrasound examinations. Methods: Of 55 infants below the age of 12 months who un derwent dismembered pyeloplasty over a 7-year period, we aimed to dete rmine the patterns and outcome of associated vesico-ureteric reflux th at was present in 15 (28%) of the 53 infants in whom follow-up was ava ilable. Results: A total of eight infants had resolution of their refl ux with conservative management and the median time to resolution was 15 months. Five infants proceeded to ureteroneocystotomy. Conclusions: Given the association of vesico-ureteric reflux and pelvi-ureteric ju nction obstruction, routine cystography is recommended when the diagno sis of pelvi-ureteric junction obstruction is made.