Vesico-ureteral reflux in patients with neurogenic bladder dysfunction: causes, types, treatment, development and results
Rodó Salas, J.; Costa, J.M.; Escolá, J.
Anales Espanoles de Pediatria 27(4): 284-286
1987
ISSN/ISBN: 0302-4342 PMID: 3426021 Document Number: 301159
Thirty one patients, suffering from vesicoureteral reflux, were selected from a group of 106 children affected by neurogenic bladder dysfunction. The causes of neurogenic dysfunction (26 a sequel of spina bifida, 2 agenesis of sacrum and 3 medullar tumors) and grade and type of reflux in the 47 reno-ureteral units (I, 4; II, 20; III, 6; IV, 11, and V, 6) are described. The treatment was medical, combining different bladder expression methods, in 11 ureters, medical plus intermittent catheterization in 36 and surgical in 14. The analysis of the results were: Satisfactory because of complete cure or improvement of the reflux in 35 ureters, un satisfactory in 5 (3 patient died and 2 were diverted and indeterminate in the other 7, whose reflux remained unchanged whose follow up was too short.