Aubert D
Chir Pediatr. 1984;25(2):114-6.
Of 175 children from 4 to 15 years with reflux, 62 (35%) have uninhibited bladder associated. In the association, the reflux is frequently bilateral and grade 2. Uninhibited bladder contractions may predispose to vesico-ureteral reflux when the orifice is abnormal. So some reflux would appear only continence age just as incoordination between bladder and urinary sphincter can produce pathophysiologically significant obstruction. The anticholinergics drugs don't improve few reflux evolution and may even emphasize. The uninhibited bladder pathology has no effect anatomical reimplantation quality but decrease often functional results: remnants mictionary disorders and lower recurrent infections.
在175名4至15岁的反流儿童中，62名（35%）伴有膀胱无抑制。在这种关联中，反流常为双侧且为2级。当膀胱开口异常时，膀胱无抑制性收缩可能易导致膀胱输尿管反流。因此，一些反流可能仅在达到自控年龄时才出现，正如膀胱与尿道括约肌不协调会产生具有病理生理学意义的梗阻一样。抗胆碱能药物对少数反流的进展并无改善作用，甚至可能使其加重。膀胱无抑制性病变对解剖学上的再植质量没有影响，但常常会降低功能结果，如残余排尿障碍和较低的反复感染发生率。
