Urinary reflux needs careful evaluation and prompt treatment. Presenting complaints include failure to thrive, and/or recurrence of a urinary tract infection. If bladder outlet obstruction is present, then surgical intervention is necessary. Bladder neck revision combined with an antireflux operation is a decision reserved for the urologist. Certain types of bladder inflammation affect the ureterovesical junction even though bladder neck obstruction cannot be demonstrated. Vigorous antibacterial treatment will abolish urinary reflux. A neurogenic bladder disorder is present in 10 to 15% of all cases with reflux. One should separate mechanical causes from physiological factors affecting bladder function since the neurogenic bladder is handled differently.

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© 1966 S. Karger AG, Basel
1966
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