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Sample text

A cystogram reveals left reflnx into an undilated ureter. Reflux could not he demonstrated on the right. ;:O [ g c' 00 (t)

In 4, the diagnosis of pyelonephritis was confirmed by nephrectomy. Eight of their patients had hypertension (140/100 mm Hg or higher) and 9 had blood urea nitrogen values of over 30 mg per cent. HODSON and EDWARDS concluded that reflux should be searched for in any patient with one or more of the following: 1. radiologic evidence of chronic pyelonephritis, 2. very small kidneys with generalized calycectasis, 3. unexplainable nonobstructive dilatation of upper urinary tract, 4. undue distensibility of the urinary tract, 5.

The Politano-Leadbetter operation completely frees the ureter from the bladder wall by a circular incision made around the ureteral orifice (Fig. 34). A second incision is made through the bladder wall about 2-3 cm above and lateral to the ureteral orifice. The ureter, which has been freed from its original position, is brought into the bladder through the upper incision and carried downward through a submucosal tunnel to be reanastomosed with the trigone. This is an excellent operation and gives highly satisfactory results.

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