逆流防止式尿管膀胱新吻合術の成績と合併症

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In a retrospective study a total of 83 cases (138 ureters) of anti-reflux ureteroneocystostomy performed by us at the Department of Urology, Hokkaido University School of Medicine during a 6-year period from 1971 to 1977 were reviewed. 1) This series comprised 57 cases of primary VUR, 14 cases of non-refluxing megaloureter and 12 cases of other congenital anomalies of the ureter (e.g. ureterocele and ectopic ureter). They consisted of 56 children and 27 adults or 36 males and 47 females. 2) The operation was performed by a modified method of Paquin in 72 cases, by Politano-Leadbetter's procedure in 9 cases and by other procedures in 2 cases. 3) Therapeutic success was achieved in 92% of cases, including 76 cases of success with reapportion. The success rate was 96.5% for primary VUR (including refluxing megaloureter) as against less than 50% for nonrefluxing megaloureter. 4) In 12 cases the initial operation proved to be unsuccessful. These failures were caused by a stenosis of the anastomosed site in 4 cases by VUR or its recurrence in 8 cases. The latter 8 cases were all children. The incidence of postoperative VUR was particularly high among those infantile cases of megaloureter where the narrowing suture had not been done. 5) Postoperative urinary infection was successfully controlled in 61 of 65 cases. The duration of postoperative chemotherapy in these 61 cases ranged from 1 month to 2 years with an average of 6 months.
社団法人日本泌尿器科学会の論文
1979-07-20

逆流防止式尿管膀胱新吻合術の成績と合併症

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