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• W32009438 abstract "No AccessJournal of Urology1 Nov 1992Vesicoureteral Reflux And Pyelonephritis In The Monkey: A Review James A. Roberts James A. RobertsJames A. Roberts More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)37013-1AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail P-fimbriated Escherichia coli, which cause nonobstructive pyelonephritis, adhere to a specific urothelial glycolipid receptor. In either the presence or absence of reflux (in the area of turbulent urine flow) these bacteria ascend the ureter and cause a decrease in ureteral motility. Endotoxin causes peristalsis to cease, leading to ureteral dilatation and change in papillary shape, thus allowing intrarenal reflux and adherence of the bacteria to renal tubules. Bacterial infection of a refluxing ureter may cause reflux to persist. Once the bacteria reach the kidney rapid effects occur at the cellular level with activation of complement followed by granulocytic aggregation and capillary obstruction, causing renal ischemia and damage during reperfusion. In addition, during phagocytosis the respiratory burst occurs, releasing toxic oxygen molecules, which leads to renal tubular death, invasion of the interstitium, microabscess and renal scar formation, that is chronic pyelonephritis, which equates with reflux nephropathy. © 1992 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByWang H, Kurtz M, Logvinenko T and Nelson C (2019) Why Does Prevention of Recurrent Urinary Tract Infection not Result in Less Renal Scarring? A Deeper Dive into the RIVUR TrialJournal of Urology, VOL. 202, NO. 2, (400-405), Online publication date: 1-Aug-2019.OKUR H, KÖSE Ö, KULA M, ÖZTÜRK F, MUHTAROĞLU S and SÜMERKAN B (2018) The Role of Infection and Free Oxygen Radical Damage in Reflux Nephropathy: An Experimental StudyJournal of Urology, VOL. 169, NO. 5, (1874-1877), Online publication date: 1-May-2003.COOPER C, CHUNG B, KIRSCH A, CANNING D and SNYDER H (2018) THE OUTCOME OF STOPPING PROPHYLACTIC ANTIBIOTICS IN OLDER CHILDREN WITH VESICOURETERAL REFLUXJournal of Urology, VOL. 163, NO. 1, (269-273), Online publication date: 1-Jan-2000.NINAN G, JUTLEY R and EREMIN O (2018) URINARY CYTOKINES AS MARKERS OF REFLUX NEPHROPATHYJournal of Urology, VOL. 162, NO. 5, (1739-1742), Online publication date: 1-Nov-1999.HUANG A, PALMER L, HOM D, ANDERSON A, KUSHNER L and FRANCO I (2018) IBUPROFEN COMBINED WITH ANTIBIOTICS SUPPRESSES RENAL SCARRING DUE TO ASCENDING PYELONEPHRITIS IN RATSJournal of Urology, VOL. 162, NO. 4, (1396-1398), Online publication date: 1-Oct-1999. Volume 148Issue 5 Part 2November 1992Page: 1721-1725 Advertisement Copyright & Permissions© 1992 by The American Urological Association Education and Research, Inc.MetricsAuthor Information James A. Roberts More articles by this author Expand All Advertisement PDF DownloadLoading ..." @default.
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