Resolution of vesicoureteral reflux in completely duplicated systems: Fact or fiction?

D. A. Husmann, T. D. Allen

Research output: Contribution to journalArticlepeer-review

26 Scopus citations


A total of 60 patients (71 renal units) with grade 2/5 vesicoureteral reflux into the lower pole moiety of a completely duplicated system was managed by medical surveillance and is compared to an identically managed age, race and sex matched control population with a similar degree of reflux into a single collecting system. During a median 2-year observation period reflux ceased spontaneously in 10% of the patients with duplication compared to 35% of the control population (p <0.01). Comparisons between the 2 study groups failed to reveal a difference in the incidence of break-through urinary tract infections, advancing degrees of reflux and/or the development or progression of renal scarring (p>0.5). Despite the fact that the resolution rate in duplex systems is significantly lower than that of a single system, it is apparent that cessation of grade 2/5 reflux into a duplicated ureter will occur and that a trial of medical management is an appropriate initial method of therapy.

Original languageEnglish (US)
Pages (from-to)1022-1023
Number of pages2
JournalJournal of Urology
Issue number5
StatePublished - Jan 1 1991


  • Urinary tract
  • Vesico-ureteral reflux

ASJC Scopus subject areas

  • Urology


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