[Transvesical intramuscular transplantation of the ureter in vesico-ureteral reflux in children]. / Transvezikal'naia intramuskuliarnaia persadka mochetochnika pri puzyrno-mochetochnikovm refliukse u detei

The authors describe a modified method of antireflux operation in vesico-ureteral reflux in children. It consists in transvesical mobilization of the distal ureteral portion together with the urethra and placing it in the tunnel, formed in muscular layer of the urinary bladder from the site of physiological ostium obliquely downward and inwardly. Thirty operations after the describe technic were performed in 17 patients. Four operations were accomplished in the left ureter, 14 patients were operated bilaterally, including 11 cases when one-moment bilateral antireflux operations were performed. The immediate results of surgery were good. In none of 11 examined children during 1-3 years postoperative reflux was noted. In one case of marked hydroureter with ureteritis signs after the operation stenosis of the transplanted sotium developed.