Vesicoureteral reflux in adults. A twelve-year study of 122 patients

In a twelve-year study, 122 adults with vesicoureteral reflux were followed for at least one year. Reflux ceased in 21 per cent of those managed medically, in 27 per cent of those treated by a combination of drugs and surgical procedures other than antireflux techniques, and in 95 per cent of those treated by an antireflux procedure. Pyelonephritis occurred or worsened in 14 per cent of the medically treated patients and in none treated by an antireflux procedure. Two patients managed medically died of uremia from chronic pyelonephritis. No patients died after an antireflux operation.