[The operative treatment of primary vesicoureteral reflux in adults with the Politano-Leadbetter method (author's transl)].

The following is an account of the Politano-Leadbetter method of maintenance of 47 reflux ureters in 35 adults. In all cases the reflux is eliminated. Of the 26 controlled patients, 9 still experienced a continuance of ureter infection. With regard to the operative indications it is evident that the limit of serum creatinine may lie around 2.3 mg%. Higher values do not yield operative indications, the low secretion pressure and the disturbed ureteral dynamics of the implantation obstruct secretion which exaggerates the kidney insufficiency.