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• W4321130080 abstract "No AccessJournal of UrologyPediatric Urology1 Sep 1998THE RISK AND RISK FACTORS OF CONTRALATERAL REFLUX FOLLOWING REPAIR OF SIMPLE UNILATERAL PRIMARY REFLUX H. NORMAN NOE H. NORMAN NOEH. NORMAN NOE More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)62818-0AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: A population of patients undergoing unilateral antireflux surgery for simple primary reflux was studied to determine the rate and possible mechanism of new onset contralateral reflux postoperatively. Materials and Methods: A total of 107 patients with simple primary reflux were evaluated as to the surgical outcome, possible risk factors and appearance of new contralateral reflux. Results: Contralateral reflux appeared in 7% of this study population, and 3% ultimately had the contralateral ureter reimplanted. Risk factors appear to include younger age at initial repair, number of cystograms performed and presence or development of dysfunctional voiding. Conclusions: New contralateral reflux following unilateral reimplantation has a low incidence. Risk factors exist that when controlled or treated might even further lower the incidence of contralateral reflux and improve treatment outcome. References 1 : Unilateral ureteroneocystostomy. J. Urol.1972; 107: 466. Link, Google Scholar 2 : Reflux in opposite ureter after successful correction of unilateral vesicoureteral reflux. Urology1976; 7: 276. Google Scholar 3 : Contralateral reflux after unilateral ureteral implantation in patients with a history of resolved contralateral reflux. J. Urol.1995; 154: 1171. Link, Google Scholar 4 : Contralateral reflux after unilateral ureteral reimplantation. J. Urol.1996; 156: 196. Link, Google Scholar 5 : The mechanism of new onset contralateral reflux following unilateral ureteroneocystostomy. J. Urol.1996; 156: 665. Link, Google Scholar 6 : Newly diagnosed contralateral reflux after successful unilateral endoscopic correction: is it due to the pop-off mechanism? J. Urol.1997; 158: 1213. Abstract, Google Scholar 7 : Contralateral vesicoureteral reflux after simple and tapered unilateral ureteroneocystostomy revisited. J. Urol.1997; 158: 1219. Link, Google Scholar 8 : Lessons learned about contralateral reflux after unilateral extravesical ureteral advancement in children. J. Urol.1998; 160: 995. Link, Google Scholar 9 : Incidence and natural history of contralateral vesicoureteral reflux in patients presenting with unilateral disease. J. Urol.1998; 160: 1023. Link, Google Scholar 10 : The uninhibited bladder in children: effect of treatment on recurrence of urinary infections and vesicoureteral reflux resolution. J. Urol.1983; 130: 1138. Link, Google Scholar 11 : The role of dysfunctional voiding in failure or complication of ureteral reimplantation for primary reflux. J. Urol.1985; 134: 1172. Link, Google Scholar From the LeBonheur Children's Medical Center and University of Tennessee, Memphis, Memphis, Tennessee© 1998 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byHubert K, Kokorowski P, Huang L, Prasad M, Rosoklija I, Retik A and Nelson C (2018) New Contralateral Vesicoureteral Reflux after Unilateral Ureteral Reimplantation: Predictive Factors and Clinical OutcomesJournal of Urology, VOL. 191, NO. 2, (451-457), Online publication date: 1-Feb-2014.DeFoor W (2018) New Contralateral Vesicoureteral Reflux—Is it Double Trouble?Journal of Urology, VOL. 191, NO. 2, (291-292), Online publication date: 1-Feb-2014.DeFoor W and Hazelwood L (2018) Unilateral Ureteral Reimplantation and Management of Contralateral Low Grade or Resolved Vesicoureteral RefluxJournal of Urology, VOL. 192, NO. 5, (1508-1512), Online publication date: 1-Nov-2014.Chertin B, Natsheh A, Fadeev D, Shenfeld O and Farkas A (2008) Unilateral Vesicoureteral Reflux and History of Contralateral Vesicoureteral Reflux Warranting Routine Bilateral Endoscopic CorrectionJournal of Urology, VOL. 180, NO. 4S, (1601-1604), Online publication date: 1-Oct-2008.Menezes M, Mohanan N, Haroun J, Colhoun E and Puri P (2007) New Contralateral Vesicoureteral Reflux After Endoscopic Correction of Unilateral Reflux—Is Routine Contralateral Injection Indicated at Initial Treatment?Journal of Urology, VOL. 178, NO. 4S, (1711-1713), Online publication date: 1-Oct-2007.Elmore J, Kirsch A, Lyles R, Perez-Brayfield M and Scherz H (2018) New Contralateral Vesicoureteral Reflux Following Dextranomer/Hyaluronic Acid Implantation: Incidence and Identification of a High Risk GroupJournal of Urology, VOL. 175, NO. 3, (1097-1101), Online publication date: 1-Mar-2006. Volume 160Issue 3 Part 1September 1998Page: 849-850 Advertisement Copyright & Permissions© 1998 by American Urological Association, Inc.MetricsAuthor Information H. NORMAN NOE More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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