RESULTS OF SURGERY FOR VESICOURETERAL REFLUX IN CHILDREN - 6 YEARS EXPERIENCE IN AN ASIAN COUNTRY

From January 1990 to December 1995, a total of 181 patients underwent reimplantation of 318 ureters for primary vesicoureteral reflux (VUR); 87.8% received bilateral reimplantation, Surgical indications include d breakthrouogh infection (35%), high-grade (greater than or equal to IV) reflux (33%), or both (29%). The operative success rate was 99.4% at 3 months postoperatively and 100% ultimately. The complications inc luded: contralateral sequential reflux in 3.9%, postoperative bladder diverticula in 1.1%: postoperative urinary; infection in 1.1%, residua l reflux in 0.3%, postoperative vesicoureteral stenosis in 0.3%, and s lippage elf the drainage tube in 0.3% of cases. Two patients had renal failure due to VUR that was proven by renal biopsy (one 4-year-old an d one 8-year-old). The incidence of associated anomalies was higher th an in the normal population. The average number of hospital admission days was 7.9 (3-63). After 1992, no ureteral stent was left in postope ratively. All patients received prophylactic antibiotics for 3 months postoperatively until the VUR disappeared. The surgical results were s atisfactory in this series.