[Results of treatment following 474 Leadbetter-Politano ureterocystoneostomies in vesicorenal reflux].

This is a report of our experience with 474 operations for vesico-renal reflux according to the Leadbetter-Politano technique at the Department of Paediatric Surgery, Medical University of Lübeck. Diagnosis of vesico-renal reflux is mostly based on urinary tract infection or enuresis. Indication for primary surgery was low pressure reflux or anomalies and ectopies of the ureteric orifice, found on cystoscopy. Ureterocystoneostomy using a modification of the Leadbetter-Politano technique was the method of surgery used, resecting the mostly fibrous distal ureteric segment. In our patients, the relapses of reflux or ureteric stenoses were found very rarely (only 1.1% each). Freedom of complaints could be gained by surgery in 80% of the cases. According to the results in the group followed up by us, primary surgical management without long-term antibiotic treatment is indicated in patients with anomalies or ectopies of the ureteric orifices.