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Vesico‐ureteric reflux in adult patients with spinal injury

Vesico‐ureteric reflux in adult patients with spinal injury British Journal of Urology (1997), 79, 888–891 Vesico-ureteric reflux in adult patients with spinal injury S. J. FO LEY , J .P . MC FA R L ANE and P . J. R . SHA H Spinal Injuries Unit, Royal National Orthopaedic Hospital Trust, Stanmore, UK Objectives To review the incidence, aetiology, treatment assessed by isotopic scanning. Two patients were and prognosis of vesico-ureteric reflux (VUR) in transferred to our unit in end-stage renal failure patients in a regional spinal injuries centre. associated with VUR and died within one year. Patients and methods A retrospective review of radiologi- Conclusions VUR continues to be a problem in patients cal investigations revealed 34 of 447 (8%) patients with spinal injury and remains potentially fatal with VUR on at least one study. The notes of these through the eects of high transmitted pressure and patients were examined to determine their manage- infection. Renal failure does not always develop as a ment and outcome. consequence of the combination of VUR and high Results Most patients developed VUR within 4 years of intravesical pressure. No single aetiological factor for injury; the underlying intravesical pressure was high VUR was found. With active early treatment, the http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png BJU International Wiley

Vesico‐ureteric reflux in adult patients with spinal injury

FOLEY, S.J.; MCFARLANE, J.P.; SHAH, P.J.R.
BJU International , Volume 79 (6) – Jun 1, 1997
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Publisher
Wiley
Copyright
"Copyright © 1997 Wiley Subscription Services, Inc., A Wiley Company"
ISSN
1464-4096
eISSN
1464-410X
DOI
10.1046/j.1464-410X.1997.00191.x
Publisher site
See Article on Publisher Site

Abstract

British Journal of Urology (1997), 79, 888–891 Vesico-ureteric reflux in adult patients with spinal injury S. J. FO LEY , J .P . MC FA R L ANE and P . J. R . SHA H Spinal Injuries Unit, Royal National Orthopaedic Hospital Trust, Stanmore, UK Objectives To review the incidence, aetiology, treatment assessed by isotopic scanning. Two patients were and prognosis of vesico-ureteric reflux (VUR) in transferred to our unit in end-stage renal failure patients in a regional spinal injuries centre. associated with VUR and died within one year. Patients and methods A retrospective review of radiologi- Conclusions VUR continues to be a problem in patients cal investigations revealed 34 of 447 (8%) patients with spinal injury and remains potentially fatal with VUR on at least one study. The notes of these through the eects of high transmitted pressure and patients were examined to determine their manage- infection. Renal failure does not always develop as a ment and outcome. consequence of the combination of VUR and high Results Most patients developed VUR within 4 years of intravesical pressure. No single aetiological factor for injury; the underlying intravesical pressure was high VUR was found. With active early treatment, the

Journal

BJU International – Wiley

Published: Jun 1, 1997

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