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ENGLISH ABSTRACT
JOURNAL ARTICLE
[Conservative and surgical therapy of vesicoureterorenal reflux].
Der Urologe. Ausg. A 1983 November
The pathogenesis of reflux nephropathy and morbidity is discussed first, then chances of spontaneous maturation and risks for scarring are compared with resulting guidelines for conservative and operative treatment. A list of indications is proposed regarding grade of reflux, age, essential diagnostic parameters (VC, cystoscopy, IVP), history and other clinical aspects. Over and above this, an "ephedrine-test" developed at Erlangen in 1976 is described with regard to possible adrenergic treatment of primary reflux. Results of over 500 Gregoir-Lich procedures from 1963 to 1976 are presented with rates of stenosis (0-2%) and failure (4.3-5.2%), complications and persistence of infection. Finally, a short review is presented of the morphology and management of secondary reflux (associated with infravesical obstruction).
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