Treating vesicoureteral reflux with reversed vesical muco-muscular flap (report of 4 cases)
- VernacularTitle:膀胱粘膜肌瓣翻转术在抗膀胱输尿管返流术中的应用(附四例报告)
- Author:
Yinghao SUN
;
Chuanliang XU
;
Xu GAO
- Publication Type:Journal Article
- Keywords:
Vesico-ureteral reflux;
Surgery,plastic
- From:
Chinese Journal of Urology
2001;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo evaluate the efficiency of reversed vesical muco-muscular flap in the treatment of vesicoureteral reflux.MethodsFrom 1999 to 2000,a new anti-reflux operation was performed for 4 cases of vesicoureteral reflux (one with grade Ⅲ and three with grade Ⅳ) using reversed vesical muco-muscular flap.The vesicoureteral reflux was primary in 2 patients and secondary to ureteromeatotomy for the management of intramural ureteral calculi in the other 2.ResultsAll the 4 patients were successfully treated with this new technique.2 patients exhibited bladder irritation and spasm after operation,which were palliated in one month and vanished in three months.The lumbodynia and distending pain vanished during the follow-up (mean 22 months). Intravenous urography revealed normal renal function of the involved kidney.Hydronephrosis and ureteric dilatation were cured in 3 patients and significantly improved in 1.Voiding cystography demonstrated no reflux.The reconstructed ureteral orifice was labiate under cystoscopic view.ConclusionsThe anti-reflux operation is simple,convenient and effective in the treatment of vesicoureteral reflux.The postoperative bladder irritation is transient and shortcoming.
