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  • Title: [Endoscopical measures of length of intramural ureter in children with primary vesico-ureteral reflux (author's transl)].
    Author: Dodat H, Sellem C, Moreau JM, Floret D, Pouillaude JM.
    Journal: Chir Pediatr; 1979; 20(3):173-9. PubMed ID: 487506.
    Abstract:
    153 endoscopical measures of the length of the intra-mural ureter in 81 children over 2 years have enabled us to ascertain that this segment of vesical ureter is significantly shorter in most patients with vesico-ureteral reflux. By contrast with other previous studies, we have not been able to use this examination for establishing the prognosis of the reflux, perhaps by lack of sufficiently prolonged follow-up However these data have been helpful to us in two circumstances and were complementary of the determination of aspect and position of ureteral meatus: a - When the child is operated for au unilateral reflux, a controlateral short intra-mural ureter suggests the value of a bilateral reimplantation to avoid the appearance of a controlateral reflux. b - When the child has an urinary infection without demonstrated reflux, a short intra-mural ureter suggests the value of a repeated cystography.
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