LICH-GREGOIR URETEROCYSTOSTOMY - EXPERIEN CE OF A NORTH-AMERICAN PEDIATRIC CENTER

Between August 1990 and December 1993, 140 children underwent Lich-Gre goir antireflux plasty. Twenty eight boys and 112 girls were included with an age range of 4 months to 15 years (average 5,8 years). Twenty- seven of 220 ureters reimplanted were duplicated. At 6 months follow-u p, 1O of 140 children had persistent reflux and 5 had controlateral re flux. Two patients had obstruction and 1 needed reintervention. At 1 y ear follow-up, only 3 children had persistent reflux and none controla teral. The Lich-Gregoir antireflux procedure is a simple surgery with minimal morbidity and excellent success rate.