| Primary Vesicourteral Reflux in Children. |
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Seong Hee Choi, Seung Joo Lee |
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Department of Pediatrics, college of Medicine, Ewha Wamans University Hospital, Seoul, Korea |
| 소아의 원발성 뇨방광 역류 |
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최성희, 이승주 |
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이화여자대학교 의과대학 소아과학교실 |
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Received: 31 October 1988 • Accepted: 31 October 1988 |
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| Abstract |
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The primary vesicourteral reflux is the reflux of urine from the bladder to ureter and renal pelvis
due to congenital incompetence of valvular mechanism at the ureterovesical junction. It can result in
the development of renal scars(reflux nephropathy), particularly in association with urinary tract
infection and intrarenal reflux. The authors studied 21 patients with primary vesicourteral reflux
who were admitted to department of Pediatrics Ewha Womans University Hospital.
The results were as follows:
1) 14 of 21 patients revealed bilateral vesicourteral reflux and refluxing ureters and renal units
were 35 cases.
2) Sex ratio of male to female was 4.3:1.
3) Chief complaints on admission were fever, urinary freguency, turbid urine, flank pain on voiding
and hematuria in freguency.
4) 16(45%) of 35 refluxing ureters and renal units revealed the renal scarring.
5) The prevalence of renal scarring was related to the severity of vesicourteral reflux.
6) Treatment was tried medically in 11 patients and surgically in 10 patients, respectively.
Among 11 patients, treated medically, 8 were improved, 1 was stationary but 2 were aggravated
Among total 12 patients, treated surgically, including 2 patients of medically treated failure, all
refluxes were stopped. |
| Key Words:
Primary vesicourteral reflux, Renal scarring |
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