Amar A D
J Urol. 1975 Feb;113(2):175-7. doi: 10.1016/s0022-5347(17)59436-7.
Vesicoureteral reflux ceased after eradication of a reservoir of infection in 6 patients. In each case the reflux was mild, the ureter with reflux was not markedly dilated and no ureter had a golfhole orifice. A reservoir of infection should be sought for in adults with chronic or recurrent urinary tract infection and reflux. If it is found and eliminated ureteral reimplantation can be withheld while the patient is followed closely. However, if infection, reflux and associated pyelonephritis persist reimplantation may be necessary.
6例患者在根除感染灶后膀胱输尿管反流停止。在每例中，反流均为轻度，存在反流的输尿管未明显扩张，且没有输尿管有高尔夫球洞样开口。对于患有慢性或复发性尿路感染及反流的成人，应寻找感染灶。如果发现并消除了感染灶，在密切随访患者的同时可暂不进行输尿管再植术。然而，如果感染、反流及相关肾盂肾炎持续存在，则可能需要进行再植术。
