Modified Hutch I Vesicoureteroplasty in Paraplegia

The most common cause of renal deterioration in the spinal cord injured patient is irreversible vesicoureteral reflux. Of 39 unilateral vesicoureteroplasties done for this condition 33 have been successful (85 per cent). Of 51 bilateral vesicoureteroplasties the success rates remain at 55 percent of the patients and 72 percent of the ureters. Since these success rates are possibly acceptable and the complication rate minimal, indications and technique are stressed.