[Treatment of primary vesico-renal reflux in adults. Apropos of 41 cases].

Between October 1970 and March 1983, forty one adults (thirty six women and five men) were treated for vesico-ureteral reflux. Fifteen were treated medically and twenty six surgically. In the latter category, four total nephrectomies were performed, one nephrectomy of the upper pole of a duplicated kidney, and twenty one antireflux ureterovesical reimplantations, involving thirty four ureters. The procedures used were Cohen's (26 cases) and Leadbetter-Politano (7 cases). The procedure used in one case is not recorded. The reflux was eliminated in all the cases, except one, which was a reoperation for ureteral stricture in a patient previously treated for reflux in another hospital. Of the sixteen patients with urinary infections, five remained infected despite the elimination of the reflux. IVP and isotopic exploration of kidney function revealed no postoperative change in the majority of the patients. Two patients, suffering from renal insufficiency preoperatively, required dialysis two and four years, respectively, after the elimination of the reflux.